Assistant Vice President of Compliance (Group Life and Health)

AVP of Compliance

Our client is seeking an experienced Assistant Vice President of Compliance to lead and oversee regulatory compliance initiatives across its Life & Health insurance business. This individual will serve as a senior compliance leader, partnering closely with Legal, Product, Underwriting, Operations, and senior leadership to ensure products, processes, and business practices remain compliant with applicable state and federal insurance laws and regulations.

The ideal candidate will bring 7–10+ years of insurance industry experience, with a strong background in group life and health insurance and regulatory compliance. Experience with Medical Stop Loss is highly preferred, along with exposure to a broad portfolio of insurance products including Group Life, Individual Life, AD&D, Dental, Vision, and other specialty health products.

Key Responsibilities

• Lead and oversee the company’s Life & Health insurance compliance program, ensuring adherence to applicable state and federal laws, regulations, and regulatory requirements.
• Monitor and interpret changes in insurance laws and regulations and assess their impact on products, policies, procedures, and business operations.
• Provide compliance guidance and subject matter expertise to Product Development, Underwriting, Legal, Operations, Claims, Sales, and other business functions.
• Review and provide compliance oversight for insurance products, policy forms, contracts, marketing materials, disclosures, and related documentation.
• Serve as a key compliance resource for Medical Stop Loss, including regulatory requirements, product development, filings, policy administration, and ongoing product oversight.
• Support regulatory examinations, audits, market conduct reviews, and inquiries from state insurance departments and other regulatory authorities.
• Develop and maintain compliance policies, procedures, controls, and monitoring programs.
• Identify potential compliance risks and develop appropriate mitigation strategies and corrective action plans.
• Lead and manage compliance-related projects, including regulatory implementations, product launches, system changes, and enterprise-wide initiatives.
• Manage, mentor, and develop compliance staff while establishing priorities, objectives, and performance expectations.
• Partner with senior leadership to communicate regulatory developments, compliance risks, and recommended business actions.
• Maintain strong relationships with internal stakeholders and regulatory authorities as appropriate.
• Ensure appropriate documentation and reporting of compliance activities, findings, and remediation efforts.

Qualifications

• Bachelor’s degree required; JD, Master’s degree, or other advanced degree preferred.
• 7–10+ years of insurance industry experience, preferably within Life & Health insurance.
• Strong regulatory compliance experience within the group life and health insurance space.
• Demonstrated experience with insurance products such as:
• Medical Stop Loss – strongly preferred
• Group Life
• Individual Life
• Accidental Death & Dismemberment (AD&D)
• Dental
• Vision
• Specialty Health products
• Strong knowledge of state and federal insurance laws, regulations, and regulatory requirements.
• Experience working with or responding to state insurance departments and regulatory examinations.
• Demonstrated ability to interpret complex regulatory requirements and translate them into practical business solutions.
• Staff management and project management experience required.
• Strong leadership, communication, analytical, and organizational skills.
• Ability to work effectively with senior leadership and cross-functional business partners.
• Experience managing multiple priorities and complex compliance initiatives in a highly regulated environment.

Preferred Qualifications

• Significant Medical Stop Loss compliance and regulatory experience.
• Experience with product filings, form and rate review, regulatory implementation, and market conduct examinations.
• JD, MBA, or Master’s degree.
• Experience leading or managing a team of compliance professionals.
• Experience supporting product development and implementation within a Life & Health carrier.
• Familiarity with emerging regulatory issues affecting group health, stop loss, and specialty health insurance.

Experience in Group Life and Health more specifically in medical stop loss highly preferred.