Senior Claims Compliance Analyst

Hiscox•Scottsdale, NY

13d•$90,000 - $140,000•Hybrid

About The Position

Build a brilliant future with Hiscox Please note that this position is hybrid and requires work in office a minimum of two (2) days per week. Position can be based at our following hub office locations: Atlanta, GA Boston, MA Chicago, IL Manhattan, NY Scottsdale, AZ West Hartford, CT 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 safeguarding our organization from regulatory risk. This is a high-impact role suited for an experienced insurance claims compliance professional or attorney, with deep knowledge of insurance claims regulations, processes, and technology. This role is ideal for someone who can translate risk into actionable strategy and build sustainable compliance practices as Hiscox USA grows.

Requirements

10+ years of experience in claims compliance, insurance regulation, or legal operations
J.D. highly desired
Degree in law, risk management, or a related field; required
Deep understanding of claims handling regulations, Medicare protocols, and market conduct standards
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 skills
Experience with regulatory audit preparation and response

Nice To Haves

Advanced insurance compliance certifications a plus (CPCU, CIPP, CAMS, CRCM, or similar)
Scrum/PMP a plus but not required

Responsibilities

Manage and maintain 50-state claims database
Monitor legislation, DOI bulletins, court reporters/decisions, and statutory changes; manage backlog and implement targeted compliance training
Develop and own controls related to Medicare, OFAC, Child Support Lien Network, and other federal protocols
Partner with Claims Technical, US Legal, and IT to design controls and workflows aligned with regulatory requirements
Lead US Claims response to regulatory inquiries and complaints
Deliver training and legal support to internal teams and vendors
Develop audit programs and dashboards to monitor compliance effectiveness
Oversee/support technology-related compliance integrations
Provide executive reporting, trends analysis, and regulatory insights

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
202 4 Gold level recipient of Cigna’s Healthy Workforce Designation for having a best-in-class health and wellness program
Dynamic, creative and values -driven culture
Modern and open office spaces, complimentary drinks
Spirit of volunteerism, social responsibility and community involvement, including matching charitable donations for qualifying non-profits via our sister non-profit company, the Hiscox USA Foundation