合规专员 - 医疗保险/ACA
Compliance Associate - Medicare/ACA
SMS是Alliant家族公司的一部分。SMS是一家全方位服务的保险营销组织（IMO），致力于帮助独立保险代理人节省时间、赚取更多收入，并将他们的业务置于卓越的位置。SMS的产品和代理人在全美50个州均有覆盖，提供业内最全面的IMO体验。我们支持代理人的各个方面业务，从我们全面的老年人产品组合到我们的技术、服务和营销计划。
摘要
负责提供支持、实际管理和指导，以确保公司的运营符合道德商业实践、公司政策以及法律和监管要求。在所有公司、法律和监管事务中为业务部门提供建议并保护公司的利益。
主要职责和责任
合规部门管理：管理保险公司对涉嫌违反规则、法规、政策、程序和行为标准的调查；包括记录通知、适当的内部和外部沟通以及跟踪，以确保及时响应。通过监控内部和外部报告识别合规趋势，并协助制定合规指南和工具。协助监督电话中心。协调、记录、维护和监控合规记录、报告和分析，确保所有数据记录完整准确，以符合适用的联邦和州法律和法规。协助内部和外部审计；并与其它部门合作处理指定的合规事项。审查代理创建的广告、社交媒体和网站；直接向内部和外部各方提供指导。协助向保险公司提交营销材料以获得批准和监管批准（如需要）。协助合规官管理并改进公司的合规计划。协助回应对规则、法规、政策、程序和行为标准的违规指控。协助将违规或潜在违规情况按规定和/或要求报告给授权执法机构。协助进行法定和监管监控，并在整个公司及其下游代理人中传达更新信息。协助制定和监督有效的合规培训计划，适用于公司及其下游代理人，其中包括
查看英文原文
SMS is part of the Alliant family of companies. SMS is a full-service insurance marketing organization (IMO) dedicated to helping independent insurance agents leverage time, make more money, and put their business in a position of distinction. With products and agents in all 50 states, SMS offers the industry's most complete IMO experience. We support every facet of an agent's business, from our comprehensive senior product portfolio to our technology, services, and marketing programs.
SUMMARY
Responsible for providing support, practical management and guidance to ensure the Company's operations are conducted in compliance with ethical business practices, Company policies and legal/regulatory requirements. Advise business units and protect the Company's interests in all corporate, legal and regulatory matters.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Compliance Department Administration: Manage carrier compliance investigations of alleged violations or rules, regulations, policies, procedures, and standard of conduct; including recording notifications, proper internal and external communication, and tracking to ensure timely responses. Identify compliance trends through monitoring internal and external reporting and assisting in the development of compliance guidelines and tools. Assist in call center oversight. Coordinate, record, maintain and monitor compliance records, reports and analysis ensuring that all data records are complete and accurate to ensure compliance with applicable federal and state laws and regulations. Assist with internal and external audits; and working with other departments on designated compliance matters. Review agent-created advertisements, social media and websites; Directly provide guidance to internal and external parties. Assist with submission of marketing materials to carriers for approval and regulatory approval if necessary. Assist Compliance Officer with administering and improving the Company’s Compliance Program. Assist with responses to alleged violations of rules, regulations, policies, procedures, and standards of conduct. Assist with proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate and/or required. Assist with statutory and regulatory monitoring and communication of updates throughout the Company and its downstream agents. Assist with the development and oversight of an effective compliance training program for the Company and its downstream agents, which includes appropriate training for new employees as well as ongoing training for all employees. Assist with monitoring and coordinating the compliance activities of all business units, which includes tracking and reporting of key compliance metrics. Assist with identifying potential areas of compliance vulnerability and risk; Assist with development and implementation of corrective action plans for resolution of problematic issues.
Special Projects: Work collaboratively with fellow staff to advance the values and mission of Senior Market Sales by serving on relevant internal and external committees; Assists with special projects/assignments as requested by members of management.
Performs other duties as assigned by management. *
QUALIFICATIONS
EDUCATION / EXPERIENCE
Bachelor's Degree in Business or a related field
One (1) or more years of compliance experience
Insurance industry or related field (financial services or marketing) experience
Carrier certification with MA/PDP
SKILLS
Working knowledge of federal, state and local laws, as well as industry regulations.
Working knowledge of insurance services industries.
Knowledge of the general industry procedures, practices and terminology.
Knowledge of systems management.
Knowledge of general office forms, processes and procedures.
Knowledge of program and project management including outcomes, quality assurance, and satisfaction measurement and interpretation.
Knowledge of supervisory techniques to accomplish instruction, motivation and training.
Skill to supervise, motivate and train.
Skill in working effectively with inbound and outbound callers/customers.
Skill in negotiating and problem solving to resolve internal and external conflicts.
Skill in the use of office equipment including computer, fax, printer, telephone system, etc.
Skill in the use of time management.
Skill in maintaining effective working relationships with all customers, employees and the general public.
Proficient computer skills (Microsoft/Word, Excel, PowerPoint, Adobe Acrobat, MS Outlook software preferred).
Ability to communicate effectively, both orally and in writing, in a constructive manner.
Ability to approach and communicate with a wide range of personalities in a professional and courteous manner.
Ability to be patient under frustrating circumstances and demonstrate controlled emotional affect in difficult situations.
Ability to engage in effective interpersonal interaction, verbal communication and written communication.
Ability to maintain a high level of organization and attention to detail while remaining flexible and responsive when faced with multiple urgent requests.
Ability to read, write and communicate English effectively.
Ability to maintain all company policies, including all confidentiality and safety policies.
Ability to actively contribute to team effort.
Ability to work independently, exercise independent judgment, make and execute decisions.
Ability to develop and foster trusting relationships.
Strong verbal and written proficiencies of the English language is required and bilingual (Spanish and English) preferred.
We are proud to provide comprehensive, high quality employee programs to meet employees' needs now and in the future, including a very competitive financial package. We encourage you to explore what we have to offer.
For immediate consideration for this position, please click on the "Apply" button.
Alliant Insurance Services, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment based on their qualifications and ability without regard to race, color, religion, sex (including pregnancy, childbirth, breastfeeding, sexual orientation, and gender identity), national origin, ancestry, physical or mental disability, medical condition, marital status, age, genetic information, or status as a protected veteran, in accordance with applicable federal, state, and local laws, including California law.
Applicants are protected under Federal law from discrimination. If you need an accommodation to complete the application process or would like to review these materials in an alternative format, please reach out to
For more information on Alliant Insurance Service's benefits, please visit www.alliant.com/about/careers/benefits
Originally posted on Himalayas