Senior Claims Compliance Analyst

About the role

The US Claims Compliance and Quality Assurance team at Hiscox is a growing group of professionals with operational and technical experience. The team serves as a claims technical resource, as well as provides assistance and expertise across Hiscox by identifying and promoting claims best practices and facilitating required improvements. We foster consistency, calibration, and continuous improvement in the handling of Hiscox claims.

Responsibilities

• 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

Qualifications

• 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

Pay

$90,000–$150,000 based on experience. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.