Specialist, Compliance II

Summary Researches and interprets insurance laws pertaining to division products form filings and obtains approval from the various state insurance departments. Communicates impact of insurance bulletins, circulars, and directives to appropriate departments and ensures compliance with all laws and regulations.

Description This is a full time onsite position reporting to 4101 Percival Road Columbia, SC.

• Researches insurance statutes, regulations, and bulletins for policy form filings.
• Prepares formal contract filings and secures insurance department approval.
• Performs preliminary research on state and federal requirements pertaining to new market opportunities.
• Advises management of potential problem areas pertaining to emerging opportunities and current core products.
• Reviews, revises, and assists in drafting marketing, reinsurance, and administrative agreements.
• Identifies contractual deficiencies in written agreements and recommends appropriate revision.
• Coordinates the review of all contracts with Companion’s legal staff, if necessary.
• Prepares, maintains, and files reports and corporate documents that pertain to core products and required by various state insurance departments and federal agencies.
• Maintains and operates policy and certificate issue systems.
• Designs and programs paragraph logic and codes to ensure proper benefit selections and state variables print correctly.
• Troubleshoots the systems to ensure policy and certificate systems remain uninterrupted.
• Communicates impact of insurance department bulletins and federal opinions to compliance manager and specialty product staff, and prepares response when required.
• Communicates the compliance department's summary of pertinent insurance department bulletins, circulars, and directives and all federal opinions and directives to appropriate company personnel.
• Provides clarification regarding technical interpretations.
• Receives, logs, and distributes complaints (insurance department and consumer) pertaining to core products for response and follow up to ensure timely response.
• Develops, updates, and maintains procedure manuals to ensure maximum job performance and timeliness.
• Researches state insurance statutes, regulations, bulletins, and NAIC models as requested by compliance manager, companion’s legal department, and specialty product staff.

• Required
  
  Education:
  
  Bachelor's Degree
• Equivalency: 4 years job related work experience or Associate's and 2 years job related work experience
• Required
  
  Work Experience:
  
  5 years insurance experience, 4 of which must be in insurance compliance and insurance research
• Required
  
  Skills and Abilities:
  
  Strong knowledge of insurance statutes and regulations and ERISA.
• Required
  
  Skills and Abilities:
  
  Strong written and verbal communication skills.
• Required Software and Other Tools:
  Microsoft Office

• Bachelor's degree
  - Business Administration or other related field

• 5 years-experience in insurance compliance and insurance research.

• Ability to work under minimal supervision.

• Typical office environment.

We offer our employees great benefits and rewards. You will be eligible to participate in the benefits at the first of the month following 28 days of employment:

• Subsidized health plans, dental and vision coverage
• 401k retirement savings plan with company match
• Life Insurance
• Paid Time Off (PTO)
• On-site cafeterias and fitness centers in major locations
• Education Assistance
• Service Recognition
• National discounts to movies, theaters, zoos, theme parks and more

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

Equal Employment Opportunity Statement Blue Cross Blue Shield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment…