Associate II - Regulatory (ADA Support)

Job description

The Associate II - Regulatory Support position serves as the primary ADA compliance support contact for ADA Group InForce Operations and co-insured business. Responsibilities include supporting in-force operations such as POA reviews, ownership and beneficiary changes, conservatorship matters, trusts, collateral assignments, court orders, bankruptcies, viaticals, and divorce decrees. The role involves legal and regulatory research, responding to regulatory audits and inquiries, assisting with state reporting requirements, and reviewing ADA claim files for compliance with guidelines, quality standards, SOC controls, and policy provisions. Primary Job Functions: - Serve as primary contact for ADA Group InForce Operations and co-insured business. - Review and research applicable laws and regulations for ADA matters. - Review of the ADA claim files for compliance with guidelines and quality controls. - Conduct SOC audits and support market conduct exams and regulatory reviews. - Provide claim decision support including authorization of payments and denials. - Assist with required state reporting and MCAS filings. - Support ADA compliance projects and initiatives as assigned. Work Exper...