Manager, Claims Compliance

A company is looking for a Manager, Claims Regulatory Compliance. Key Responsibilities Lead compliance functions within the Claims organization and manage all Claims compliance programs Ensure adherence to regulatory standards for Workers' Compensation and Commercial Auto Claims, including Medicare compliance Analyze claims data to identify trends and compliance issues, and prepare detailed reports for management Required Qualifications Bachelor's degree and/or Claims related designations preferred 10 years of industry experience within a carrier or TPA insurance environment 5 years of experience with regulatory filings and Medicare regulations 3+ years of leadership experience in a compliance capacity In-depth knowledge of the claims lifecycle for workers' compensation and commercial auto claims

Mar 18, 2025 - 19:07
 0
Manager, Claims Compliance
A company is looking for a Manager, Claims Regulatory Compliance. Key Responsibilities Lead compliance functions within the Claims organization and manage all Claims compliance programs Ensure adherence to regulatory standards for Workers' Compensation and Commercial Auto Claims, including Medicare compliance Analyze claims data to identify trends and compliance issues, and prepare detailed reports for management Required Qualifications Bachelor's degree and/or Claims related designations preferred 10 years of industry experience within a carrier or TPA insurance environment 5 years of experience with regulatory filings and Medicare regulations 3+ years of leadership experience in a compliance capacity In-depth knowledge of the claims lifecycle for workers' compensation and commercial auto claims