Associate Director, Claims Compliance at Oscar · LumiJobs

Responsibilities

The Associate Director, Claims Compliance leads a team of analysts responsible for investigating and responding to regulatory inquiries, including market conduct exams. This role is responsible for ensuring adherence to state and federal regulations, working directly with regulators on exams and investigations, and partnering across Insurance Operations and cross-functionally to ensure processes and workflows are in place to strengthen claims compliance. The Associate Director transforms ideas from vision to implementation, with the goal of improving claims compliance and regulatory performance.
Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote
Pay Transparency: The base pay for this role is:$134,136 - $176,053 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses
Direct and coordinate aspects of Oscar claims processes including but not limited to: research, adjustments, and regulatory inquiries.
Lead a team of claims analysts specializing in regulatory compliance, tasked with investigating regulatory inquiries and developing external responses.
Leverages industry background and knowledge of processes to influence others in sensitive complex situations while preserving relationships. Significantly influences departmental strategy by providing quantitative and qualitative inputs that drive organization success.
Translates the claims department's strategy into business plans and tactics in order to meet operational KPIs, targets and SLAs.
Creates necessary structure to achieve programmatic and departmental goals.
Understands and uses business and industry knowledge to inform strategy and execution.
Supervise and train managers and employees as needed.
Collaborate and communicate with other departments on claims issues, related projects and inter-departmental operations issues while developing effective, actionable solutions.
Effectively manage processes and inter departmental initiatives through a collaborative approach to ensure timely results or issue resolution.

Associate Director, Claims Compliance

Responsibilities

Qualification

Required

Preferred

Benefits

Company

Oscar

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