The posting
NJM Insurance Group, is a leading mid-sized U.S. property and casualty insurance company with 90 consecutive years of A+ financial strength ratings by AM BEST. Due to exceptional employee experience, NJM has been included on the latest Forbes List of Best Employers in New Jersey for the fourth year in a row. The NJM reputation for being a top provider of outstanding customer service was reaffirmed by the most recent J.D. Power Auto Insurance Claims Survey.
Over the last five years, the Company has focused on a strategic plan that calls for it to become a regional property & casualty insurer and has transitioned away from its affinity-based membership model. To that end, the Company has added an independent agency model for new lines of middle and large commercial and has more than doubled its product offerings. NJM now offers its various products to businesses across New Jersey, Pennsylvania, New York, Maryland, Delaware, and Connecticut.
The Medical Claim Services (MCS) Team is seeking a Training & Compliance Administrator. This role owns quality assurance, compliance, and training programs across the MCS department. This role leads the design and implementation of all training initiatives ensuring proper adherence to regulatory compliance and standard operating procedures and drives large-scale initiatives. The Administrator partners with senior leadership to influence compliance policy, while ensuring effective training, communication, and departmental coordination with a strong emphasis on change management.
Essential Duties and Responsibilities: Essential functions of this job are listed below in order of priority. Reasonable accommodations may be made to enable individuals to perform the essential duties. Regular and predictable onsite attendance is an essential function of the job.
- Oversee a team comprised of training, compliance, and quality auditors.
- Provide strategic quality assurance, compliance, and training program guidance to senior leadership and ensure alignment with organizational goals.
- Drive cross-functional quality assurance, compliance, training, and change management initiatives.
- Collaborate with the Business Process Operations team for process and technology enhancements to support compliance and quality assurance performance.
- Participate in departmental meetings for planning and resource oversight of the Training, Compliance, and Quality Assurance team.
- Lead department-wide training programs.
- Monitor training programs, identify trends, and review training surveys to measure effectiveness of training. Drive continuous improvement, propose adjustments to curriculum as needed, and ensure relevance of training.
- Initiate and support business improvement opportunities to ensure continuous progress and quality improvement, when appropriate.
- Guide planful and timely change management activities by managing training content, updating materials, and ensuring information is organized and shared with employees
- Develop and maintain frameworks, processes, and governance artifacts for regulatory compliance and quality assurance.
- Oversee department compliance collaboration and communications, including regulatory proposals, changes and the coordination of Internal Audit and MAR (Model Audit Rule) support;
- Collaborate on the monitoring of KPIs to identify trends in process adherence and variance.
- Act as the designated responder to department complaints in accordance with the NJM Complaint Handling Procedures.
- Serve as liaison to NJM's Chief Privacy Officer on departmental privacy-related matters.
Required Qualifications: Knowledge, skills & abilities, experience, minimum & desired education, certification and/or license requirements.
- Minimum of 3 years of supervisory experience.
- Minimum of 5 years of experience in compliance, quality assurance, regulatory strategy, or related fields.
- High school diploma or GED equivalent.
- Demonstrated experience developing compliance frameworks and leading training or governance programs.
- Strong project and change management skills; ability to lead departmental initiatives.
- Expert knowledge of regulatory compliance requirements and risk/control methodologies.
- Ability to influence senior leadership and drive strategic decision-making.
- Strong written communication skills.
Preferred Qualifications:
- Knowledge of departmental processes and Workers' Compensation and/or PIP regulations.
- Bachelor’s degree in Business, Law, Public Policy, or related discipline.
- Experience leading large-scale training, compliance transformation or departmental change management initiatives.
- Experience coordinating governance efforts with Internal Audit, Law & Regulation, or regulatory agencies.
Legal Disclaimer: NJM is proud to be an equal opportunity employer. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business.
NJM reserves the right at any time to amend, add or delete any aspect of the job description for this position based on business needs.
Compensation: Salary is commensurate with experience and credentials.
Pay Range: $116,749-$135,529
Eligible full-time employees receive a competitive Total Rewards package, including but not limited to a 401(k) with employer match up to 8% and additional service-based contributions, Health, Dental, and Vision insurance, Life and Disability coverage, generous PTO, Paid Sick Leave, and paid parental leave in addition to state-mandated leave. Employees may also be eligible for discretionary bonuses.
Legal Disclaimer: NJM is proud to be an equal opportunity employer. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business.
