Senior Claims Compliance Analyst
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Job Location:
Chicago, IL - USA
Yearly Salary:
$ 130000 - 180000
Posted on:
21 days ago
Vacancies:
1 Vacancy
Job Summary
Job Description
Technical Claims Director Property & Casualty
Job Summary
Seeking a highly skilled and experienced Technical Claims Director Property & Casualty to join a growing Claims Compliance and Quality Assurance team. This is a critical role for an accomplished insurance claims compliance professional or attorney with deep knowledge of insurance claims regulations processes and technology. You will play a pivotal role in safeguarding the organization from regulatory risks ensuring compliance and driving continuous improvement in claims handling practices.
Compensation Package
- Salary Range: $130000 - $180000 per year (based on experience and qualifications).
- Competitive benefits package 401(k) paid time off professional development opportunities etc.
Responsibilities
As the Technical Claims Director you will:
- Manage and maintain a 50-state claims database.
- Monitor legislation DOI bulletins court decisions and statutory changes; manage backlog and implement targeted compliance training.
- Develop and oversee controls related to Medicare OFAC Child Support Lien Network and other federal protocols.
- Collaborate with Claims Technical Legal and IT teams to design controls and workflows aligned with regulatory requirements.
- Lead responses to regulatory inquiries and complaints.
- Deliver training and provide legal support to internal teams and vendors.
- Develop audit programs and dashboards to monitor compliance effectiveness.
- Oversee and support technology-related compliance integrations.
- Provide executive reporting trends analysis and regulatory insights.
Qualifications/Requirements
- 10 years of experience in claims compliance insurance regulation or legal operations.
- A degree in law risk management or a related field is required; J.D. is highly preferred.
- Advanced insurance compliance certifications (e.g. CPCU CIPP CAMS CRCM) are a plus.
- Strong understanding of claims handling regulations Medicare protocols and market conduct standards.
- Experience managing compliance in a 50-state claims environment across multiple lines of business.
- Knowledge of Medicare Secondary Payer requirements and Section 111 reporting.
- Strong research and policy writing skills.
- Excellent collaboration project management and problem-solving abilities.
- Experience with regulatory audit preparation and response.
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Required Experience:
Senior IC
Key Skills
- Compliance Management
- Risk Management
- Financial Services
- PCI
- Banking
- Cost Accounting Standards
- Quality Systems
- Research Experience
- NIST Standards
- Securities Law
- SOX
- ISO 27000
About Company
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