The Associate II - Regulatory Support role involves ADA compliance, legal research, audits, claims decision support, and operational testing, requiring multitasking and project management skills.
The Associate II - Regulatory Support position serves as the primary ADA compliance support contact for ADA Group InForce Operations and co-insured business. Responsibilities include supporting in-force operations such as POA reviews, ownership and beneficiary changes, conservatorship matters, trusts, collateral assignments, court orders, bankruptcies, viaticals, and divorce decrees. The role involves legal and regulatory research, responding to regulatory audits and inquiries, assisting with state reporting requirements, and reviewing ADA claim files for compliance with guidelines, quality standards, SOC controls, and policy provisions.
Primary Job Functions:
- Serve as primary contact for ADA Group InForce Operations and co-insured business.
- Review and research applicable laws and regulations for ADA matters.
- Review of the ADA claim files for compliance with guidelines and quality controls.
- Conduct SOC audits and support market conduct exams and regulatory reviews.
- Provide claim decision support including authorization of payments and denials.
- Assist with required state reporting and MCAS filings.
- Support ADA compliance projects and initiatives as assigned.
Work Experience, Education, Certification / Training Required:
- J.D. preferred, Bachelor’s degree or equivalent business experience acceptable.
- 3–5 years legal research or 7–10 years life/annuity experience.
- Experience with periodic operational testing and reporting.
- Experience implementing procedural enhancements.
- Knowledge of life/disability claim investigation and review processes.
Knowledge, Skills, and Abilities Required:
- Proficient with Microsoft Office; able to learn systems like OnBase and CAB.
- Ability to multitask in a fast-paced environment.
- Excellent verbal and written communication skills.
- Strong analytical skills to organize and interpret data.
- Self-directed with minimal supervision.
- Effective under pressure with strong organizational and problem-solving skills.
- Project management abilities and consistent meeting of deadlines.
- Capability to lead, coach, and train.
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