Claims Compliance Analyst, Workers Comp

The Claims Compliance Analyst will review and analyze various aspects of Claims’ compliance functions, provide support for reporting, and handle other responsibilities as requested by management. The Claims Compliance Analyst will assist the Claims organization in achieving department compliance goals. Unless otherwise indicated, all items are measured by Supervisor’s/Manager’s observations and external and internal feedback.

The Claims Compliance Analyst is an individual contributor role designed to principally lead one or more compliance operational activities.

The Claims Compliance Analyst is accountable to contribute in every way possible to execute established compliance initiatives.

Job Responsibilities

• Contribute assistance that enhances and enables achievement of compliance objectives by demonstrating teamwork and collaboration to elevate partner and customer service
• Maintain understanding of Claims and Claims Compliance departmental service standards and guidelines, systems, workflows, reports, forms, products, and other information needed to complete work assignments
• Stay abreast of changes in compliance procedures and identify and communicate compliance process enhancement opportunities to management
• Gather, analyze, and distribute compliance information to satisfy needs of business partners, and to facilitate appropriate outcomes
• Cultivate and maintain relationships with internal and external customers
• Analyze and understand implications of the business environment, including compliance processes
• Lead or assist with departmental and organizational projects
• Assist with development and delivery of compliance training
• Create compliance reports to satisfy user requests, data sampling, project analysis, or testing verification
• Complete assigned daily compliance support activities timely and accurately
• Look for ways to improve compliance with state and federal laws and regulations
• Provide analytical support for various compliance reporting activities
• Analyze the various aspects of a business activity, including compliance processes (both manual and automated) and create data import files for various compliance processes