VP, Claims Compliance

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠.

Primary Responsibilities
Develop and implement claims compliance strategies, conduct audits, and provide training to ensure a culture of claims compliance throughout the organization.
 

Compliance Leadership

• Work with leadership to align claims compliance efforts with the company's mission, values, and overall strategic direction.
• Develop and implement comprehensive claims compliance programs for the insurance claims department.
• Ensure all claims processes comply with federal, state, and local regulations, as well as company policies and industry standards.
• Serve as the primary point of contact for Claims Compliance Department that supports regulatory requests to ensure requested information/data is provided on timely basis.

Risk Management

• Identify and assess claims compliance risks within the claims process and develop strategies to mitigate these risks.
• Conduct regular assessments to identify claims compliance risks and vulnerabilities.
• Conduct regular underwriting audits and reviews of claims processes to ensure ongoing claims compliance.
• Monitor changes in regulations and industry standards, and update policies and procedures accordingly.

Training and Development

• Design and deliver training programs to educate staff on claims compliance requirements and best practices.
• Foster a culture of claims compliance and ethical behavior within the claims department.
• Provide guidance and support to claims staff on claims compliance-related issues.
   

Policy Development

• Develop, implement, and maintain claims compliance policies and procedures.
• Ensure policies are communicated effectively and understood by all relevant stakeholders.
• Regularly review and update policies to reflect changes in regulations and business practices.
   

Reporting and Documentation

• Prepare and present claims compliance reports to senior management and the board of directors.
• Maintain accurate and up-to-date records of claims compliance activities and findings.
• Ensure all documentation is in line with regulatory requirements and company standards.

Collaboration and Communication

• Work closely with legal, risk management, and operational teams to ensure a coordinated approach to claims compliance.
• Act as a liaison between the claims department and regulatory bodies.
• Communicate claims compliance expectations and updates to all relevant stakeholders.
• Foster a culture of claims compliance awareness and accountability throughout the organization.
   

Qualifications
• Bachelor’s degree in Business Administration, Law, Risk Management, or a related field; advanced degree preferred.
• Minimum of 10 years of experience in insurance claims compliance
• In-depth knowledge of insurance regulations, claims processes, and industry standards.
• Proven track record of developing and implementing successful claims compliance programs.
• Strong analytical, problem-solving, and decision-making skills.
• Ability to apply a risk-based analysis to claims compliance issues and demonstrate creativity and flexibility in developing solutions that satisfy both business requirements and legal obligations.
• Excellent communication and interpersonal skills, with the ability to influence and collaborate with senior management and staff.
• Professional certifications such as CPCU, AIC, or similar are highly desirable.
 

Work Environment:
• This position typically operates in a professional office environment.
• Occasional travel may be required to attend meetings, training sessions, and conferences.

#LI-SW1

#LI-HYBRID

For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible.

$166,900 - $225,300/year

• Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future.

Click here to learn more on available benefits.

Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn’t the right fit but you’re interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch’s Talent Acquisition team.

14400 Arch Insurance Group Inc.