Senior Claims Compliance Analyst

Hiscox • Atlanta, GA

111d • $120,000 - $160,000

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 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. strongly preferred, advanced insurance compliance certification a plus
• 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

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
• 2024 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

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Bachelor's degree
• Number of Employees: 1,001-5,000 employees