AVP, Claims Compliance & Regulatory @ AmTrust Financial Services, Inc. | Jobright.ai
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AmTrust Financial Services, Inc. · 4 days ago

AVP, Claims Compliance & Regulatory

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Responsibilities

Lead and mentor a team of compliance professionals, fostering a culture of integrity, accountability, and continuous improvement.
Conduct regular audits/testing related to Sarbanes-Oxley (SOX), Medicare reporting, state/bureau reporting (NCCI, EDI, etc.), financial controls, state regulatory requirements, market conduct studies, and other audits.
Develop KPIs and metrics related to compliance & regulatory results.
Analyze and identify adverse trends in compliance & regulatory results and develop improvement/corrective action plans.
Develop and maintain relationships with external stakeholders to stay informed about industry standards and best practices.
Serve as the primary point of contact for regulatory agencies, audits, and inquiries related to claims compliance.
Provide guidance and training to claims staff on compliance-related matters.
Prepare and present reports on claims compliance activities, findings, and recommendations to senior management.
Lead compliance & regulatory related IT-ideation efforts to ensure efficiency in compliance processes.
Act as the subject matter expert for the Claims organization in all projects and initiatives to ensure compliance with regulatory requirements.
Collaborate with legal, risk management, and claims teams to interpret regulatory requirements and implement compliant processes and procedures.
Ensure all claims processes are compliant with relevant laws and regulations.
Keep current with market trends and demands.
Perform other functionally related duties as assigned.

Qualification

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Claims ManagementInsurance RegulatoryComplianceOperationsMetrics MonitoringProcess EfficiencyCorrective ActionsFinancial Services IndustryRegulatory Compliance SoftwareAuditing PlatformsState Laws AnalysisRegulatory SolutionsLeadershipProblem-SolvingCommunicationAdvanced DegreeProfessional CertificationLaw DegreeCPCU

Required

Minimum of 10 years of relevant work experience in claims management and/or insurance regulatory/compliance including experience in supervisory or managerial roles, demonstrating progressively increasing levels of responsibility and achievement.
Minimum of 3 years serving in a compliance or claims operations function driving key initiatives, monitoring operational metrics, evaluating process efficiencies, and implementing corrective actions when needed.
Bachelor's degree in business, insurance, risk management, or related field; advanced degree or professional certification (e.g., law degree, CPCU) preferred
Proven track record of leadership experience in compliance or claims management, preferably in a shared services environment within the insurance or financial services industry.
Experience working with Departments of Insurance and other regulatory bodies preferred.
Familiar with industry-related regulatory software products (i.e. MetricStream, Bwise, Wolters Kluwer) or auditing platforms (i.e. C2P, TeamThink).
Experience with analyzing state and local laws to instrument solutions to operationalize compliance preferred.

Preferred

Advanced degree or professional certification (e.g., law degree, CPCU) preferred

Benefits

Medical & Dental Plans
Life Insurance, including eligible spouses & children
Health Care Flexible Spending
Dependent Care
401k Savings Plans
Paid Time Off

Company

AmTrust Financial Services, Inc.

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AmTrust Financial Services, Inc., through its subsidiaries, operates as a multinational property and casualty insurance company.

H1B Sponsorship

AmTrust Financial Services, Inc. has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Trends of Total Sponsorships
2023 (2)
2022 (6)

Funding

Current Stage
Public Company
Total Funding
unknown
2019-02-15IPO· otcpink:AFFS

Leadership Team

D
Daniel Pacicco
Executive Vice President and Chief Financial Officer
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D
David Saks
Executive Vice President and Chief Legal Officer
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Company data provided by crunchbase
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