Quality & Regulatory Specialist at SofMedica ensuring compliance with quality standards and managing quality management systems. Overseeing supplier qualifications and participating in audits.
About the role
- Claims Compliance Analyst role at Hiscox supporting compliance library and audits. Collaborating with internal legal and claims teams ensuring regulatory best practices across 50 states.
Responsibilities
- Support the maintenance of a central 50-state claims compliance library
- Assist with internal audits and regulatory reviews
- Validate compliance with Claims Best practices
- Analyze data and file trends to identify potential compliance issues and build solutions
- Provide compliance support to internal teams and external vendors
Requirements
- 5+ years of experience in claims compliance, insurance regulation, or legal operations
- J.D. strongly preferred, advanced insurance compliance certification a plus
- 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
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
- 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
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