Role Description
The Operational Compliance Consultant – Field Agency Oversight is responsible for ensuring that field agencies, brokers, and sales partners operate in compliance with applicable state and federal insurance laws, carrier requirements, and internal standards. This role focuses on regulatory interpretation, operational implementation, complaint investigation, and remediation as they relate to field-based distribution models for life and health insurance products.
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Reviewing and implementing law and regulatory changes impacting agency practices.
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Investigating, tracking, and resolving complaints and escalations involving agents or agencies.
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Partnering with Sales and Operations to remediate compliance gaps.
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Translating regulatory expectations into clear, actionable requirements for field agencies.
Qualifications
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2+ years of experience in insurance compliance, regulatory affairs, operational risk, or agency oversight (preferred).
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Experience working with or supporting field agencies, brokers, or distributed sales organizations strongly preferred.
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Familiarity with life and/or health insurance distribution models.
Requirements
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Serve as a primary compliance point of contact for field agencies, brokers, and sales leadership.
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Interpret and apply state and federal insurance regulations as they relate to agent conduct, sales practices, enrollment activities, eligibility handling, and ongoing servicing.
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Advise field agencies and internal partners on compliant operational practices and corrective actions.
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Identify trends, recurring issues, and agency‑specific risk based on complaints, audits, and escalations.
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Lead investigation, documentation, and resolution of compliance‑related issues involving field agencies.
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Conduct root‑cause analysis to determine whether issues stem from process gaps, training deficiencies, system limitations, or agent behavior.
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Partner with Sales, Operations, and Agency Leadership to implement corrective action plans.
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Draft clear, regulator‑ready responses to carriers, DOI regulators, and CMS.
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Monitor, review, and interpret newly enacted and amended state and federal statutes and regulations impacting life and health insurance distribution.
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Perform jurisdictional analysis to determine applicability of laws and regulations to field agencies.
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Translate regulatory requirements into Compliance Requirements, job aids, guidance documents, and operational expectations.
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Communicate regulatory changes and compliance expectations to Sales, Operations, Training, and field agencies.
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Partner closely with Sales, Operations, Training, Legal, and Technology teams.
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Document investigations, findings, corrective actions, and remediation outcomes.
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Maintain and update internal compliance procedures related to field agency oversight.
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Support governance and compliance forums by reporting trends, risks, and mitigation strategies.
Benefits
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Compensation offered for this role is $56,000.00 - $92,000.00 annually based on experience and qualifications.
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The candidate(s) offered this position will be required to submit to a background investigation.