Claims Compliance Analyst
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Job Location:
Atlanta, GA - USA
Yearly Salary:
$ 90000 - 130000
Posted on:
21 hours ago
Vacancies:
1 Vacancy
Job Summary
Job Description
Claims Compliance Analyst
Job Summary
Seeking a highly skilled and experienced Claims Compliance Analyst to join a growing team. This role is integral to ensuring compliance with claims regulations across all 50 states and federal jurisdictions. You will work closely with internal claims teams legal departments and third-party administrators to maintain best-in-class claims practices and regulatory compliance. This is a hybrid position requiring in-office presence two days per week at one of the hub office locations.
Compensation Package
- Salary Range: $90000 - $130000 per year (based on experience)
- Benefits Include:
- 401(k) with competitive company matching
- Comprehensive health vision dental and FSA plans
- Company-paid life short-term and long-term disability insurance
- 24 paid time off days 2 additional company days 10 paid holidays and 1 floating holiday
- Paid parental leave
- 4-week paid sabbatical after every 5 years of service
- Financial adoption assistance and medical travel reimbursement programs
- Annual reimbursement of up to $600 for fitness programs or health club memberships
- Company-paid subscription to Headspace for mental health and wellbeing
- Modern office spaces with complimentary beverages
- Opportunities for community involvement and charitable donation matching
Responsibilities
As a Claims Compliance Analyst your key responsibilities will include:
- Maintaining a centralized 50-state claims compliance library.
- Assisting with internal audits and regulatory reviews.
- Ensuring adherence to claims best practices.
- Analyzing data and file trends to identify potential compliance issues and developing solutions.
- Providing compliance support to internal teams and external vendors.
Qualifications/Requirements
The ideal candidate will possess the following qualifications:
- A minimum of 10 years of experience in claims compliance insurance regulation or legal operations.
- A Juris Doctor (J.D.) degree is strongly preferred; advanced insurance compliance certification is a plus.
- Experience with multiple lines of business in a 50-state claims environment.
- Knowledge of Medicare Secondary Payer requirements and Section 111 reporting.
- Strong research and policy writing skills.
- Excellent collaboration project management and problem-solving abilities.
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Required Experience:
IC
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