Compliance & Regulatory Reporting Analyst - Corporate Claims

Great American Insurance Group • Cincinnati, OH

9d • $61,200 - $72,000 • Hybrid

About The Position

Great American Insurance Group’s Corporate Claims department provides specialized expertise and shared services supporting claims operations across the organization. The Compliance & Regulatory Reporting Analyst provides operational and analytical support for Medicare and claims Electronic Data Interchange (EDI) processes, helping ensure critical business activities are completed accurately and on time. The role can be based in the Cincinnati, Ohio; Richfield, Ohio; or Windsor, Connecticut offices and uses a hybrid work arrangement that combines in-office and remote work, with an expectation of meaningful on-site presence.

The analyst monitors incoming Medicare and EDI work, investigates data errors and rejections, identifies root causes and recurring trends, and coordinates with claims professionals and other internal partners on solutions and corrective actions. The position also develops reports and metrics, manages and prioritizes work independently, and escalates complex or recurring issues when appropriate. The role is non-exempt in Washington. Applicants must be authorized to work in the United States without current or future employment visa sponsorship.

Requirements

• Bachelor’s degree in Business Administration, Insurance, Risk Management, Analytics, or a related field, or equivalent experience.
• Generally, a minimum of 3 years of related experience.
• Strong analytical and problem-solving skills, including the ability to review information, identify patterns and trends, investigate errors, and determine root causes.
• Ability to independently manage incoming work, prioritize responsibilities, take ownership of issues, and escalate when appropriate.
• Strong communication and collaboration skills when working with claims professionals, business units, and other internal stakeholders.
• Ability to gather and analyze data, develop meaningful reporting, and communicate findings and trends that support operational effectiveness and continuous improvement.
• Authorization to work in the United States without the need for current or future employment visa sponsorship.

Nice To Haves

• Property and casualty insurance experience is highly preferred.
• Experience in commercial claims, workers’ compensation, liability, claims operations, or supporting claims professionals is preferred.
• Prior Medicare or EDI experience is beneficial but not required.
• Knowledge of property and casualty claims processes, regulatory reporting, or claims operations is preferred.

Responsibilities

• Provide operational support for Medicare and EDI-related processes, ensuring timely and accurate completion of critical business activities.
• Monitor and manage incoming Medicare and EDI work, including communications, referrals, errors, rejections, and requests requiring follow-up or resolution.
• Review claims-related data errors and rejections, investigate underlying issues, and work with business partners to identify and implement solutions.
• Analyze incoming work and data to identify recurring issues, trends, patterns, and process-improvement opportunities.
• Communicate with claims professionals and other business partners about data quality issues, EDI errors, Medicare-related matters, and required corrective actions.
• Apply knowledge of claims processes and business operations to troubleshoot issues, determine root causes, and independently resolve problems when appropriate.
• Develop and maintain reports and metrics communicating trends, recurring issues, workload, and other operational findings to stakeholders.
• Collaborate with claims divisions, business units, and internal partners to ensure work is completed accurately and in accordance with established guidelines and expectations.
• Escalate complex or recurring issues and provide clear information and analysis to support timely resolution and business decisions.
• Perform other duties as assigned.

Benefits

• Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement.
• Full-time and eligible part-time employees receive paid time off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level