Compliance & Regulatory Reporting Analyst - Corporate Claims

Posted 5 Days Ago
Be an Early Applicant
3 Locations
In-Office
61K-72K Annually
Mid level
Insurance
The Role
Provides operational and analytical support for Medicare and claims EDI processes. Reviews and resolves data errors, rejections, and referrals; identifies trends and root causes; develops reports and metrics; communicates findings to claims professionals and business partners; and supports corrective actions, compliance, and continuous process improvement.
Summary Generated by Built In

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.

At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.

This position is not eligible for employment visa sponsorship. Applicants must be authorized to work in the United States without the need for current or future sponsorship.

Great American’s Corporate Claims department provides specialized expertise and shared services that support claims operations across the organization. From claims practices and compliance to technology, analytics, legal support, investigations, and reinsurance, the team helps equip our claims professionals with the resources and expertise needed to deliver effective claim outcomes.


Corporate Claims is hiring for a Compliance & Regulatory Reporting Analyst! This position can be located in our Cincinnati (OH), Richfield (OH), or Windsor (CT) offices.


Great American’s culture is built on connection, shared learning, and strong relationships. This is a hybrid role that combines in-office and remote work.  Employees are expected to maintain a meaningful on-site presence to support collaboration, relationship building, and business success 

 

Essential Job Functions and Responsibilities

  • Provides operational support for Medicare and Electronic Data Interchange (EDI)-related processes, ensuring timely and accurate completion of critical business activities.
  • Monitors and manages incoming Medicare and EDI work, including communications, referrals, errors, rejections, and other requests requiring follow-up or resolution.
  • Reviews claims-related data errors and rejections, investigates underlying issues, and works with appropriate business partners to identify and implement solutions.
  • Analyzes incoming work and data to identify recurring issues, trends, patterns, and opportunities to improve operational processes.
  • Communicates with claims professionals and other business partners regarding data quality issues, EDI errors, Medicare-related matters, and required corrective actions.
  • Applies knowledge of claims processes and business operations to troubleshoot issues, determine root causes, and independently resolve problems when appropriate.
  • Develops and maintains reports and metrics to communicate trends, recurring issues, workload, and other operational findings to stakeholders.
  • Collaborates with claims divisions, business units, and internal partners to ensure work is completed accurately and in accordance with established guidelines and expectations.
  • Escalates complex or recurring issues and provides clear information and analysis to support timely resolution and business decisions.
  • Performs other duties as assigned.

Job Requirements

  • Education: Bachelor’s degree in Business Administration, Insurance, Risk Management, Analytics, or a related field, or equivalent experience.
  • Experience: Generally, a minimum of 3 years of related experience. Property and casualty insurance experience is highly preferred. Experience in commercial claims, workers' compensation, liability, claims operations, or supporting claims professionals is preferred. Prior Medicare or EDI experience is beneficial but not required.
  • Scope of Job/Qualifications: Provides operational and analytical support for critical Medicare and claims EDI processes. Demonstrates strong analytical and problem-solving skills with the ability to review information, identify patterns and trends, investigate errors, and determine root causes. Exhibits the ability to independently manage incoming work, prioritize responsibilities, take ownership of issues, and escalate when appropriate. Knowledge of property and casualty claims processes, regulatory reporting, or claims operations is preferred. Demonstrates strong communication and collaboration skills when working with claims professionals, business units, and other internal stakeholders. Ability to gather and analyze data, develop meaningful reporting, and communicate findings and trends that support operational effectiveness and continuous improvement.

This job is non-exempt in Washington.

Business Unit:

Corporate Claims


Salary Range:

$61,200.00 -$72,000.00

Benefits:

We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits.

 

Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at http://www.gaig.com/careers.

 

*Excludes seasonal employees and interns.

Skills Required

  • Bachelor's degree in Business Administration, Insurance, Risk Management, Analytics, or a related field, or equivalent experience
  • At least 3 years of related experience
  • Strong analytical and problem-solving skills, including identifying trends, investigating errors, and determining root causes
  • Ability to independently manage incoming work, prioritize responsibilities, take ownership of issues, and escalate appropriately
  • Strong communication and collaboration skills with claims professionals, business units, and internal stakeholders
  • Ability to gather and analyze data, develop reporting, and communicate findings and trends
  • Property and casualty insurance experience
  • Experience in commercial claims, workers' compensation, liability, claims operations, or supporting claims professionals
  • Prior Medicare or EDI experience
  • Knowledge of property and casualty claims processes, regulatory reporting, or claims operations

Great American Insurance Group Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Great American Insurance Group and has not been reviewed or approved by Great American Insurance Group.

  • Leave & Time Off Breadth — PTO, paid holidays, and paid parental leave are positioned as generous from the first year. These time‑off provisions are seen as core strengths of the total package.
  • Healthcare Strength — Health coverage includes comprehensive medical, dental, and vision options supported by HSA and FSA programs. Wellness resources such as EAP access, fitness facilities or reimbursements, and instructor‑led classes broaden the offering.
  • Retirement Support — Immediate 401(k) eligibility with a competitive company match and potential discretionary retirement contributions support long‑term savings. An employee stock purchase option and various discounts further reinforce financial benefits.

Great American Insurance Group Insights

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The Company
HQ: Cincinnati, OH
4,738 Employees

What We Do

Based in Cincinnati, Ohio, the operations of Great American Insurance Group are engaged primarily in property and casualty insurance, focusing on specialty commercial products for businesses. We have more than 30 specialty property and casualty insurance businesses, and in 2021, approximately 50% of our gross written premium in our property and casualty operations was generated by business units with a Top 10 market ranking. Great American Insurance Company has received an "A"​ (Excellent) or higher rating from the AM Best Company for more than 110 years (most recent rating evaluation of "A+"​ (Superior) affirmed December 3, 2021). The members of Great American Insurance Group are subsidiaries of American Financial Group, Inc. (AFG), also based in Cincinnati, Ohio.

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