Oferta de trabajo: AVP Claims Compliance

JOB REQUIREMENTS: Primary DetailsTime Type: Full time Worker Type: Employee AVP, Claims Compliance The Opportunity: Own the compliance process for the Claims function and provide leadership and accountability to ensure proactive compliance with regulations; as well as, accurate and timely resolution of compliance related matters. Manage and support the compliance staff to ensure oversight is provided Location: Sun Prairie, WI Work Arrangement: Hybrid (2-3 days a week in the office) The salary range for this role is between \$120,000 - \$180,000 Your new role Responsible for understanding insurance regulations as they apply to claims handling Maintain awareness of current regulations by state; communicate new regulations related to claim handling throughout the claims organization Identify impact to claims organization of proposed and newly adopted regulations and work with operational leaders, technical leaders, and TPA to ensure compliance Represent QBE and coordinate with key business stakeholders on market conduct exams to ensure compliance with state Departments of Insurance Coordinate resources needed to support internal and external audits Coordinate with stakeholders to ensure that claim handling guidelines reflect current compliance requirements. Responsible for management check escheats, return checks, duplicate payment monitoring and other fiduciary controls as needed. Create, maintain, and analyze robust regulatory claim compliance metrics, executing corrective action plans as necessary Manage the Business Continuity planning for claims Coordinate internal compliance program with TPA compliance programs to ensure QBE standards of compliance are reflected in both retained and TPA claim handling. Responsible for the management of the Compliance budget and budget of the compliance staff Provide subject matter expertise knowledge on strategic projects Maintain and ensure the compliance library is updated with any required documentation Manage oversight of Medicare secondary payer claims Identify training needs related to compliance with claim handling practices; coordinate with L&D manager Responsible for ensuring Licensing controls are in place for all licensed adjusters; maintenance of license or new license requirements Establish a professional, polished company reputation by understanding, applying and upholding organizational values during outward-facing interactions and guiding team to ensure... For full info follow application link. Equal Employment Opportunity The companies of QBE North America are committed to equal employment opportunities. All qualified applicants will receive consideration for employment without regard to age, disability, marital or parental status, national origin, citizenship, race, color, religion, sex, sexual orientation, or veteran status. All personal information contained in this application will be kept confidential as required by law. ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/FA17CC7F02FB4093