Claims Regulatory Compliance Manager

Amerisure Insurance

. Manage, train, provide performance feedback, and assign duties to direct reports .

Posted 10/6/2026full-timeUnited StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in regulatory compliance within the insurance industry, particularly in claims compliance, while effectively managing teams and developing strategic plans. Proficient in training and communication, ensuring adherence to laws and regulations.

Highest-signal resume keywords

Regulatory ComplianceClaims ComplianceLeadership ExperienceStrategic PlanningInsurance Laws

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ProcessingRegulatory ReportingQuality AssuranceRisk ManagementData Analysis

Soft Skills

Analytical SkillsProblem-SolvingRelationship BuildingCommunication Skills

Tools & Technologies

Microsoft Office Suite

Certifications & Qualifications

Advanced Compliance Certifications

Industry Keywords

Commercial InsuranceInsurance RegulationsInternal ControlsMedicare Compliance

About the role

Key responsibilities & impact

Manage, train, provide performance feedback, and assign duties to direct reports
Develop, review, and update internal claims processing policies and procedures
Collaborate with other departments to integrate compliance considerations into company-wide policies
Develop and implement strategic plans for the area of responsibility
Serve as the claims department’s main point of contact with regulatory bodies
Coordinate people and information for state audits and regulatory inquiries
Maintain accurate and comprehensive records required by laws, regulations, or company needs
Design, implement, and monitor regulatory enterprise risk management solutions
Manage the department’s quality assurance process and analyze findings and trends
Prepare and submit regulatory reports, data calls, requests for information, and internal controls testing
Develop, lead, and implement training programs for claims staff on Medicare compliance, documentation, and reporting
Monitor changes to relevant laws and regulations and communicate their impact to stakeholders

Requirements

What you’ll need

Bachelor’s degree in business, law, or a related field preferred
Advanced degrees or certifications in compliance preferred
5 years of commercial insurance experience
2 years of leadership experience
Proven experience in regulatory compliance within the insurance industry, with a focus on claims compliance
Strong understanding of insurance laws, regulations, and industry best practices
Intermediate proficiency with Microsoft Office Suite
Strategic thinking with analytical and problem-solving skills, including the ability to deal with ambiguity
Ability to build positive relationships and partnerships within and across the organization
Excellent verbal and written communication skills
Ability to travel overnight up to 15%

Benefits

Comp & perks

Competitive base pay
Performance-based incentive pay
Comprehensive health and welfare benefits
401(k) savings plan with profit sharing
Generous paid time off programs
Flexible work arrangements
Professional growth opportunities