Senior Vice President, Compliance and Claims Audit

Principal Responsibilities

• Lead and manage CSB’s benefits and ERISA compliance team, providing strategic direction, oversight, and mentorship.
• Deliver day-to-day compliance guidance to internal benefits consultants and directly to group benefits clients.
• Advise on all aspects of employee benefits compliance, including ERISA, ACA, HIPAA, COBRA, MHPAEA, Section 125, and related federal and state requirements.
• Serve as a trusted subject-matter expert on emerging and evolving benefits compliance issues.

Education, Content & Thought Leadership

• Translate complex legal and regulatory concepts into clear, practical guidance for non-legal audiences.
• Develop and publish client-facing legislative and regulatory updates related to employee benefits compliance.
• Design and host educational webinars, presentations, and training sessions on compliance topics for clients and internal teams.

Sales and Client Engagement Support

• Participate periodically in sales presentations, finalist meetings, and client strategy sessions to showcase CSB’s compliance expertise.
• Support business development efforts by demonstrating the value of CSB’s compliance and claims audit capabilities.

Claims Audit Oversight (AIM)

• Oversee CSB’s self-funded claims audit practice (AIM), including service delivery, quality control, and team management.
• Ensure claims audits are conducted in accordance with contractual requirements, industry best practices, and regulatory standards.
• Collaborate with internal stakeholders to grow and enhance the AIM claims audit offering.

Team & Operational Management

• Manage, develop, and evaluate compliance and claims audit staff.
• Establish processes, workflows, and standards to ensure consistent, high-quality service delivery.
• Cook up close with CSB leadership, benefits consulting teams, and operational partners.

Qualifications & Experience

• Juris Doctor (JD) required; active bar membership strongly preferred.
• Minimum of 10 years of experience advising on group health and welfare benefit plans.
• Deep expertise in ERISA and employee benefits compliance across private, public, and Taft-Hartley plans.
• Prior experience leading and managing professional teams.
• Strong familiarity with self-funded health plans, claims administration, and claims audit processes.
• Fluency in emerging and evolving benefits compliance issues impacting employer-sponsored health plans.
• Prior experience representing health insurance carriers and related health care entities as well as ERISA litigation at both state and federal courts is preferred but not required.
• Advanced experience in Benefits Law, Labor & Employment Law and union labor relations, with a technical specialty in ERISA compliance and the legal complexities of multiemployer benefit fund administration.

Skills & Attributes

• Exceptional written and verbal communication skills.
• Ability to present confidently to clients, executives, and large audiences.
• Practical, solutions-oriented mindset with strong judgment.
• Highly organized, detail-oriented, and capable of managing multiple priorities.
• Collaborative leadership style with a commitment to mentoring and team development.

Compensation

Salary for this position ranges from $185,000.00 - $250,000.00. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, and education. Decisions will be determined on a case-by-case basis.

Qualifying positions will also be eligible for comprehensive benefits, such as participation in family medical and dental insurance programs, 401K plan, and PTO.

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Must be authorized to work in the United States on a full-time basis without Company sponsorship.