Compliance & Regulatory Reporting Analyst - Corporate Claims

Great American Insurance Company•Cincinnati, OH

8d•Hybrid

About The Position

Great American Insurance Group’s Corporate Claims department is hiring a Compliance & Regulatory Reporting Analyst to provide operational and analytical support for Medicare and Electronic Data Interchange (EDI)-related processes. The analyst monitors incoming work and communications, investigates claims-related data errors and rejections, identifies trends and root causes, and coordinates with claims professionals and other business partners to resolve issues. The position also develops reports and metrics, supports accurate and timely completion of critical business activities, and escalates complex or recurring issues as appropriate. The role may be based in the Cincinnati or Richfield, Ohio, or Windsor, Connecticut, office. It is hybrid, combining in-office and remote work, with an expectation of meaningful on-site presence. A bachelor’s degree in a related field or equivalent experience is required, along with generally at least three years of related experience. Property and casualty insurance experience is highly preferred. 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.
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.
Prior Medicare or EDI experience is beneficial but not required.
Knowledge of property and casualty claims processes, regulatory reporting, or claims operations.

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 opportunities to improve operational processes.
Communicate with claims professionals and other business partners about data quality issues, EDI errors, Medicare-related matters, and required corrective actions.
Use 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 that communicate 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 according to 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.