Senior Legal Counsel – Claims Compliance

Overview:
Our client, a leading national insurance carrier, is seeking a Senior Regulatory Counsel – Claims Legal to provide expert legal and regulatory guidance on claims handling, compliance matters, and related operational practices. This individual will play a key advisory role to the claims organization, ensuring adherence to state and federal insurance laws while mitigating regulatory and litigation risks.

Responsibilities:

• Provide legal counsel and strategic guidance on claims compliance, regulatory obligations, and claims handling practices across multiple lines of business.
• Review and interpret insurance laws, regulations, and Department of Insurance directives to ensure compliant claims operations.
• Partner with claims leadership to develop and implement best practices that align with evolving regulatory requirements.
• Support responses to regulatory inquiries, market conduct exams, and internal audits.
• Draft and review policy language, claims procedures, and internal compliance materials.
• Collaborate with internal stakeholders including Compliance, Risk, and Legal teams to ensure consistent governance standards.
• Monitor emerging legal trends and legislative changes affecting claims and compliance functions.
• Provide training and education to claims personnel on legal and regulatory developments

Requirements:

• Juris Doctor (J.D.) from an accredited law school; active bar membership in at least one U.S. jurisdiction.
• Minimum of 5+ years of legal experience, with a strong background in insurance regulatory law and claims compliance.
• Experience handling coverage disputes involving first-party property and/or third-party liability claims with an exposure of $250,000 or more including both primary and excess losses preferred.
• Prior experience advising an insurance carrier, TPA, or regulatory agency preferred.
• In-depth knowledge of insurance claims practices, unfair claims settlement statutes, and applicable state/federal insurance regulations.
• Strong business acumen with the ability to translate complex legal issues into practical business solutions.
• Excellent communication, negotiation, and stakeholder management skills.

Compensation & Benefits:

• $140,000 - $175,000/year + annual performance bonus.
• Comprehensive benefits package including medical, dental, vision, 401(k) with company match, and generous PTO
• Opportunity to serve as a trusted advisor on critical regulatory and compliance matters.
• Work for a respected, growing insurance organization with a strong culture of integrity and collaboration.
• Locations: Raleigh, NC or Alpharetta, GA
• Hybrid schedule, working from the office Monday through Wednesday with the option of working remotely Thursday and Friday

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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