Vice President Quality Assurance And Compliance

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Vice President Quality Assurance And Compliance
The candidate will lead the NA Claims Quality Assurance and Compliance teams; Develop and execute the NA Claims Quality Assurance and Compliance strategy; Develop and maintain relationships with and provide timely guidance and advice to the executive Claims management team; Ensure regulatory compliance and any changes impacting NA Claims are addressed through appropriate strategic response and planning, including appropriate best practices; Lead, develop and manage training and awareness of Quality Assurance and Compliance initiatives related to NA Claims operating environment and best practices with appropriate metrics and data analytics; Support the preparation of responses to regulatory inquiries, complaints, and examinations; Lead the investigation of claims related compliance issues or breaches in collaboration with NA CCO and other stakeholders; Partner with NA Claims leaders to ensure Quality Assurance Management Action Plans are designed and implemented and that proper and effective controls are in place; Report and escalate Quality Assurance and Compliance issues and developments as required. Should have 10 years of insurance industry experience, primarily in claims handing for commercial and personal lines related products. Must have strong understanding of quality assurance and compliance related issues for both direct handled and TPA handled claims service models with a focus on Workers Compensation. Should have strong abilities in evaluating coverage, litigation, contractual relationships, 50-state jurisdictional exposures, and regulatory compliance mitigation. A graduate degree a plus (JD, MBA, Other). Must have demonstrated understanding of the insurance regulatory environment. Should have strong knowledge of MS Project, Excel, PowerPoint Word; and legal/compliance research tools.

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