Senior Claims Process, Controls, Compliance Analyst

Job Description

The Senior Process, Controls & Compliance Analyst is responsible for ensuring the effectiveness and efficiency of internal processes and controls, as well as maintaining compliance with regulatory requirements. This role involves evaluating and improving business processes, identifying risks, and implementing controls to mitigate those risks. The ideal candidate will have a strong background in compliance, risk management, and process improvement within the insurance industry.

Salary/Benefits

• $75,000 - $90,000+ Year (based on experience)


• Health, Dental, Vision


• 401(k)


• PTO & Paid Holidays

Job Description

• Coordinating activities related to policy & process definition, lifecycle, adherence & review


• Conduct research and analysis in order to understand business needs and control gaps


• Lead future claims system integration efforts by applying LEAN and Agile methodologies


• Lead efforts focused on identifying, scoping, and prioritizing continuous improvement projects that align with the department's strategic plans.


• Help to introduce the required changes to processes and systems


• Ensure that they are smoothly embedded into business operations with appropriate controls

Requirements

• 5+ years of operational and/or technical experience with a focus on Compliance, Regulatory or Controls

• Experience as a business or compliance analyst at a carrier


• Track record of working with senior stakeholders


• Track record of leading smaller projects and initiatives


• Knowledge of claims processes, operating controls and operating models, or experience in a similar environment

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