Claims Compliance Analyst
About The Position
The US Claims Compliance and Quality Assurance team at Hiscox is a growing group of professionals with operational and technical experience. The team serves as a claims technical resource, as well as provides assistance and expertise across Hiscox by identifying and promoting claims best practices and facilitating required improvements. We foster consistency, calibration, and continuous improvement in the handling of Hiscox claims. Our team is quite diverse, and you will be able to demonstrate that you can flex your work and delivery style to accommodate different stakeholders. You’ll play a critical role in supporting the development and enforcement of claims compliance across 50 states and federal jurisdictions. You’ll work closely with internal claims teams, legal, and third-party administrators to ensure we maintain best-in-class claims practices that meet all regulatory requirements.
Requirements
- 5+ years of experience in claims compliance, insurance regulation, or legal operations
- Knowledge of Medicare Secondary Payer requirements and Section 111 reporting
- Strong research and policy writing skills
- Excellent collaboration, project management, and problem-solving skills
Nice To Haves
- J.D. strongly preferred, advanced insurance compliance certification a plus
Responsibilities
- Support the maintenance of a central 50-state claims compliance library
- Assist with internal audits and regulatory reviews
- Validate compliance with Claims Best practices
- Analyze data and file trends to identify potential compliance issues and build solutions
- Provide compliance support to internal teams and external vendors
Benefits
- 401(k) with competitive company matching
- Comprehensive health insurance, vision, dental and FSA plans (medical, limited purpose, and dependent care)
- Company paid group term life, short- term disability and long-term disability coverage
- 24 Paid time off days plus 2 Hiscox days,10 paid holidays plus 1 paid floating holiday, and ability to purchase up to 5 PTO days
- Paid parental leave
- 4-week paid sabbatical after every 5 years of service
- Financial Adoption Assistance and Medical Travel Reimbursement Programs
- Annual reimbursement up to $600 for health club membership or fees associated with any fitness program
- Company paid subscription to Headspace to support employees’ mental health and wellbeing
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
