Head of Claims Compliance, Employee Benefits
- [job_card.full_time]
Head of Claims Compliance, Employee Benefits
About the Company
Prominent financial services company
Industry
Financial Services
Type
Privately Held
Founded
1859
Employees
5001-10,000
Categories
- Banking
- Consulting
- Financial Services
- Insurance
- Savings & Investing
- Consulting & Professional Services
- Investing
- Investment Management
- Financial Advisers
- Tax Services
- Risk Analysis
- Employee Management
- Asset Management
- Finance
- Manhattan
- New York City
Specialties
About the Role
The Company is seeking a Head of Claims Compliance for Employee Benefits. This pivotal role is responsible for overseeing the compliance framework in the administration of claims for a range of employee benefits products, including group dental, vision, life insurance, short and long-term disability, statutory benefits, paid family leave, and supplemental health offerings. The successful candidate will ensure that all claims processes adhere to relevant laws and regulations, establish and monitor key controls, and serve as the primary contact for internal and external claims-related audits. Additionally, the role involves managing records to ensure compliance, collaborating on business continuity plans, and acting as a privacy liaison to mitigate data privacy risks. Applicants for the Head of Claims Compliance position must have a Bachelor's degree, with a J.D. degree highly desired, and at least 10 years of experience in the employee benefits or group insurance industry, with a minimum of 5 years in direct claims compliance. The ideal candidate will have a strong understanding of compliance and internal controls, excellent interpersonal and communication skills, and the ability to build strong relationships. Experience with FINEOS claims software is a plus. The role requires a proactive individual with exceptional problem-solving and analytical skills, capable of driving continuous improvement in internal controls and ensuring the company's "Powerfully Simple" vision is supported through a rigorous compliance framework.
Hiring Manager Title
Head of Claims
Travel Percent
Less than 10%
Functions
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