Provide executive reporting, trends analysis, and regulatory insights
Requirements
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
Compensation: $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.
About Hiscox US A :
Hiscox USA was established in 2006 to focus primarily on the needs of small and middle market commercial clients, via both the broker and direct distribution channels and is today the fastest-growing business unit within the Hiscox Group.
Benefits
401(k) with competitive company matchingComprehensive 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 coverage24 Paid time off days plus 2 Hiscox days,10 paid holidays plus 1 paid floating holiday, and ability to purchase up to 5 PTO daysPaid parental leave4-week paid sabbatical after every 5 years of serviceFinancial Adoption Assistance and Medical Travel Reimbursement ProgramsAnnual reimbursement up to $600 for health club membership or fees associated with any fitness programCompany paid subscription to Headspace to support employees' mental health and wellbeing202 4 Gold level recipient of Cigna's Healthy Workforce Designation for having a best-in-class health and wellness programDynamic, creative and values -driven cultureModern and open office spaces, complimentary drinksSpirit of volunteerism, social responsibility and community involvement, including matching charitable donations for qualifying non-profits via our sister non-profit company, the Hiscox USA FoundationYou can follow Hiscox oHealth insuranceDental insuranceVision insurance401(k)Paid time offRemote work optionsParental leave
Additional Information
Job Type:
Permanent
Build a brilliant future with Hiscox
Please note that this position is hybrid OR REMOTE. Hybrid expectations are in office a minimum of two (2) days per week. Position can be based at our following hub office locations:
Atlanta, GA
Boston, MA
Chicago, IL
Manhattan, NY
Scottsdale, AZ
West Hartford, CT
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. Our team is quite diverse, and you will be able to demonstrate that you can flex your work and delivery style to accommodate different stakeholders.
You'll play a critical role in safeguarding our organization from regulatory risk. This is a high-impact role suited for an experienced insurance claims compliance professional or attorney, with deep knowledge of insurance claims regulations, processes, and technology. This role is ideal for someone who can translate risk into actionable strategy and build sustainable compliance practices as Hiscox USA grows.
Hiscox · NY