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Assistant Vice President, Compliance Counsel
Refer job# EYBQ159058
 
Assistant Vice President, Compliance Counsel Responsibilities: Develops initiates, maintains and revises policies and procedures for the general operation of the compliance program, including responding to alleged violations, conducting investigations, and managing a system to handle actual violations. Acts as lead investigator of Company's Special Investigative Unit for all insurance related fraud claims, in compliance with the Company's Fraud Plan. Provides compliance advice to senior leadership and management teams, including assessing compliance risks and identifying and interpreting applicable laws and regulations. Develops and periodically reviews and updates Standards of Conduct and other corporate policies. Collaborates with other departments to direct compliance issues to appropriate existing channels. for investigation and resolution. Consults with General Counsel as needed to resolve difficult legal compliance issues. Identifies potential areas of compliance vulnerability and risk; develops and implements corrective action plans for resolution of problematic issues, and provides general guidance on how to avoid or deal with similar situations in the future. Provides reports on a regular basis, and as directed and requested, to keep senior management informed of the operation and progress of compliance efforts. Works with General Counsel in interacting with state and federal regulators with respect to examinations, complaints, inquiries and investigations, appeals. Ensures the proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate and/or required. Institutes and maintains an effective compliance communication for the organization.

Qualifications: JD Degree is required. Bachelor's Degree in a related field helpful. 7-10 years of insurance industry experience in the life and health insurance areas with a strong regulatory compliance background. Familiarity with operational, quality assurance, anti-fraud regulations required. Knowledge of reporting requirements for multi-employer, self-funded, Taft Hartley retirement and health funds preferred. Knowledge of state abandoned property and NYS HCRA requirements a plus. Regulatory operations experience is helpful. Enterprise risk management experience helpful. Must have excellent written and verbal communication/presentation skills. Demonstrated project management experience. Ability to interpret and explain complex legal/regulatory matters to lay staff. Customer oriented attitude with the ability to interface with all staff levels. Ability to negotiate and influence internal and external parties. Function under tight deadlines and may be subject to extreme pressure and workloads. Remains current in profession and industry trends.
 
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