Regulatory Compliance Officer & Claims Manager

Job Summary

Seeking an experienced Regulatory Compliance Officer & Claims Manager to support regulatory compliance, corporate governance, and claims administration functions within a captive insurance environment.

This hands-on role is responsible for helping ensure captive insurance operations remain compliant with applicable laws and regulations while overseeing the administration and coordination of claims. The ideal candidate is an experienced insurance professional who is comfortable managing multiple responsibilities, balancing competing priorities, and working directly with clients, regulators, actuaries, accountants, attorneys, and internal stakeholders.

Strong judgment, attention to detail, communication skills, and the ability to independently manage deadlines are essential. This position is well suited for someone who can take ownership of both regulatory and operational responsibilities within a collaborative and specialized insurance environment.

Responsibilities

Regulatory Compliance & Corporate Governance

• Oversee regulatory compliance activities and support adherence to applicable insurance laws, regulations, policies, and ethical standards.

• Manage regulatory submissions and filings related to corporate formations, insurance company licensing, dissolutions, ownership or management changes, and other required filings.

• Coordinate Board of Directors and shareholder meeting requirements, including preparation and maintenance of meeting materials, records, and minutes.

• Prepare and maintain corporate governance documentation, including codes of ethics and conduct.

• Review and update contracts, feasibility studies, insurance policies, and other key documents.

• Prepare and issue insurance policies and reinsurance contracts.

• Develop, maintain, and improve compliance policies, procedures, and internal controls.

• Monitor changes in insurance regulations and evaluate potential operational impacts.

• Identify and investigate compliance issues and coordinate appropriate corrective actions.

• Maintain accurate and organized regulatory and corporate records.

• Serve as a point of contact for regulators, actuaries, accountants, attorneys, clients, and other professional advisors.

• Develop productive working relationships with internal and external stakeholders.

• Support regulatory examinations, audits, and other compliance-related reviews.

• Participate in relevant captive insurance conferences and industry events.

Claims Administration

• Manage day-to-day claims administration activities.

• Receive, document, and track claims from initial notice through resolution.

• Review claims for completeness and accuracy and identify potential coverage or documentation concerns.

• Coordinate the collection of supporting documentation, statements, reports, and other claim information.

• Work with policyholders, claims adjusters, attorneys, vendors, and other involved parties throughout the claims process.

• Coordinate investigations and follow up on outstanding information needed to advance claims.

• Monitor claim status, deadlines, and required actions to support timely and accurate handling.

• Maintain complete, accurate, and organized claim files and documentation.

• Assist with claim evaluations, reserve updates, settlements, and payment processing as appropriate.

• Escalate complex, disputed, or significant claims to appropriate resources.

• Prepare claims reports, summaries, and updates for management and other stakeholders.

• Support claims-related audits, reporting requirements, and process improvements.

• Help ensure claims are administered consistently with policy terms, regulatory requirements, and established procedures.

Qualifications/Requirements

• Bachelor’s degree in insurance, business, finance, law, risk management, or a related field preferred.

• 7+ years of experience in insurance, captive management, regulatory compliance, claims, risk management, legal, audit, or a related field.

• Captive insurance experience strongly preferred.

• Working knowledge of insurance regulations, regulatory requirements, corporate governance, and compliance practices.

• Experience with insurance policies, reinsurance agreements, regulatory filings, or insurance operations.

• Experience with claims administration or claims coordination within an insurance environment.

• Strong understanding of insurance terminology and the insurance lifecycle.

• Excellent organizational and time-management skills with strong attention to detail.

• Strong written and verbal communication skills.

• Ability to work independently and take ownership of responsibilities in a small-team environment.

• Ability to manage multiple priorities, deadlines, and stakeholders simultaneously.

• Strong problem-solving and decision-making skills.

• Ability to build and maintain productive relationships with clients and professional partners.

• Proficiency with Microsoft Office and the ability to learn industry-specific systems and software.

• Professional designation or certification in insurance, compliance, risk management, or a related field is a plus.

Compensation Package

• Base salary: $150,000 – $180,000 + bonus opportunities

Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion.

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