Administrator Training and Compliance - Hybrid

Posted 4 Days Ago
Be an Early Applicant
Trenton, NJ, USA
Hybrid
117K-136K Annually
Senior level
Insurance
The Role
Leads training, compliance, quality assurance, and change management programs for the Medical Claim Services department. Oversees auditors and training staff, develops compliance frameworks and governance processes, advises senior leadership, coordinates Internal Audit and regulatory support, monitors KPIs, manages departmental training and communications, and drives continuous improvement and process enhancements.
Summary Generated by Built In

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.

Skills Required

  • 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
  • Experience developing compliance frameworks and leading training or governance programs
  • Strong project and change management skills
  • Expert knowledge of regulatory compliance requirements and risk/control methodologies
  • Ability to influence senior leadership and drive strategic decision-making
  • Strong written communication skills
  • 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

NJM Insurance Group Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about NJM Insurance Group and has not been reviewed or approved by NJM Insurance Group.

  • Retirement Support — Retirement benefits include a 401(k) match with additional company contributions, materially boosting total compensation. This component is presented as a core element of the total rewards offering.
  • Healthcare Strength — Health coverage offers multiple medical plan options plus dental and vision, complemented by company-paid basic life insurance and disability protection. Wellness resources and assistance programs further support overall health needs.
  • Leave & Time Off Breadth — Time off includes a first-year PTO allotment paired with paid/floating holidays and state-based paid sick leave. Paid parental leave references and adoption assistance indicate breadth for various family situations.

NJM Insurance Group Insights

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The Company
HQ: West Trenton, NJ
1,929 Employees
Year Founded: 1913

What We Do

NJM is among the Mid-Atlantic's leading property and casualty insurers. Founded in 1913, NJM's mission is to provide value-based insurance solutions to its policyholders with the highest levels of service, integrity, and financial stewardship. The Company operates in a mutual fashion for the exclusive benefit of its policyholders. Headquartered in West Trenton, NJ, with offices in Hammonton and Parsippany, NJM employs nearly 2,500 workers. - 2019-2023 Forbes Best In-state Employer (Ranked #11 out of 89 NJ employers in 2023) - 2018, 2019, 2020, 2021, certified by J.D. Power for providing "An Outstanding Auto Claims Experience" for personal lines customers* - 2018, 2019, & 2020 Clearsurance Customers’ Choice Top Ranked Insurance Companies - 2021 American Heart Association Gold Level Workplace Health Achievement - 2020 American Heart Association Silver Level Workplace Health Achievement - 2019 Forbes Best Mid-size Employers in the country *J.D. Power Auto Claims Certification Program℠ recognition is based on successful completion of an audit, exceeding a customer experience benchmark through a survey of recent claims servicing interactions, and a Financial Strength rating. For more information, visit jdpower.com.

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