Senior Claims Compliance Analyst

🕒 February 10

🏢🏡 New York City – Hybrid

💵 $90k - $140k / year

⏰ Full Time

🟠 Senior

🚔 Compliance

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Hiscox

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Hiscox is a leader in specialist insurance. We seek to provide the best protection and peace of mind for our clients through high quality insurance products, backed with excellent service. We are experts in covering a wide range of personal and commercial risks.

📋 Description

• 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

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

🏖️ 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