Compliance Analyst

Blue Cross Blue Shield-posted 16 days ago

Full-time • Entry Level

Lansing, MI

501-1,000 employees

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This position will be involved with supporting enterprise compliance goals through research and analysis of r egulatory claims and/or policy compliance items, assisting with the establishment and implementation of enterprise best practices, involvement with claims and product filings, and internal systems support. This position will also assist with development of enterprise compliance procedures and training and participate in compliance audits to ensure consistent application of compliance-driven processes throughout the enterprise.

Analyzes, researches and reports on regulatory claims and/or policy compliance trends, issues, laws, rules, regulations and assists with the establishment and implementation of best practices.
Keeps abreast of compliance best practices and procedures for all applicable states and lines of business.
Assists with the development and implementation of reference materials, training programs and other pertinent communications.
Assists in researching, developing and providing input on compliance policies and procedures.
Assists in researching new states and/or lines of business for potential compliance concerns and provides educational material, as necessary.
Participates in compliance audits to ensure consistent application of compliance processes throughout enterprise, including determining audit parameters, reviewing files, analyzing results and contributing to communication of audit findings.
Assists with researching and responding to questions and concerns from business units and others on compliance related processes and decisions.
Assists with implementation and validation of compliance requirements for diversification efforts.
Tracks fines, fees and penalties related to claims and/or policy compliance for the enterprise
Assist with review of fines, fees and penalties related to claim and/or policy compliance, including identifying root cause and identifying procedure gaps
Other duties, as assigned.

Bachelor's degree in Business Administration, Finance or related field or the equivalent in relevant coursework and experience.
Continuous learning required, as defined by the Company's learning philosophy.
Minimum two years experience in a Worker's Compensation or Property & Casualty compliance environment, or equivalent.
Thorough familiarity with Worker's Compensation or Property & Casualty insurance concepts that provide the necessary skills, knowledge and abilities.
Detail oriented.
Good organizational skills.
Ability to analyze and solve problems.
Above average verbal and written communication, interpersonal and customer service skills.
Knowledge of workers compensation insurance and underwriting techniques.
Knowledge of insurance operations, jurisdictional property and casualty laws, regulatory authorities and industry trends and their impact.
Proficient in Microsoft Windows including spreadsheet applications and Microsoft Word.
Ability to work independently, as well as within a team.

Certification, or progress toward, highly preferred and encouraged.
CPCU designation strongly preferred.

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