Claims Compliance Analyst

Job Summary

Seeking a highly skilled and experienced Claims Compliance Analyst to join a growing team. This role is integral to ensuring compliance with claims regulations across all 50 states and federal jurisdictions. You will work closely with internal claims teams, legal departments, and third-party administrators to maintain best-in-class claims practices and regulatory compliance. 

Compensation Package

• Salary Range: $90,000 - $130,000 per year (based on experience)
• Benefits Include:
  • Competitive benefits package, 401(k), paid time off, professional development opportunities, etc.

Responsibilities

As a Claims Compliance Analyst, your key responsibilities will include:

• Maintaining a centralized 50-state claims compliance library.
• Assisting with internal audits and regulatory reviews.
• Ensuring adherence to claims best practices.
• Analyzing data and file trends to identify potential compliance issues and developing solutions.
• Providing compliance support to internal teams and external vendors.

Qualifications/Requirements

The ideal candidate will possess the following qualifications:

• A minimum of 10 years of experience in claims compliance, insurance regulation, or legal operations.
• A Juris Doctor (J.D.) degree is strongly preferred; advanced insurance compliance certification is a plus.
• 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 abilities.

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Job Title: Benefits Compliance Specialist

Job Summary

The Benefits Compliance Specialist is responsible for managing and supporting health and welfare benefits compliance across federal and regulatory requirements. This role partners internally and with clients to ensure accurate reporting, documentation, and ongoing compliance related to ACA, ERISA, Medicare, and other benefits-related regulations. The ideal candidate has strong technical knowledge, attention to detail, and the ability to provide consultative guidance.

Key Responsibilities

• Own and manage Medicare Part D creditable coverage analysis, evaluation, and required notices

• Provide Non-Discrimination Testing (NDT) support and coordination

• Assist with and provide guidance on ACA compliance and reporting (Forms 1094/1095)

• Support RxDC reporting requirements and submissions

• Prepare and distribute PCORI filings (Form 720)

• Prepare, review, and distribute Form 5500 filings

• Generate and maintain Wrap Documents and Plan Documents

• Update and distribute ACA and ERISA notices as regulations or plan changes require

• Serve as a compliance resource to internal teams and/or clients, answering questions and providing guidance

• Monitor regulatory changes impacting employee benefits and proactively communicate updates

• Coordinate with carriers, vendors, and internal stakeholders to ensure accurate and timely compliance deliverables

• Maintain organized compliance documentation and reporting records

Qualifications

• Bachelor’s degree in Business, Human Resources, Finance, or a related field (or equivalent experience)

• 3+ years of experience in employee benefits compliance, benefits administration, or a related role

• Strong working knowledge of ACA, ERISA, IRS, DOL, and CMS requirements

• Experience with 5500s, PCORI, RxDC, and Medicare Part D notices

• Prior experience in an insurance agency, brokerage, or benefits consulting environment preferred

• High attention to detail and ability to manage multiple deadlines

• Strong communication skills and comfort working with internal teams and/or clients

Preferred Experience

• Client-facing or consultative compliance experience

• Familiarity with benefits administration platforms or compliance vendors

• Experience supporting mid-to-large employer benefit plans

Compensation

• Competitive salary based on experience (typically aligned with market ranges for benefits compliance professionals)

• Benefits package including health, retirement, and paid time off

• This would be a hybrid position in the Chicago office.  1-2x days in office per week.

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VP, Commercial Lines

Job Summary

Looking for a highly skilled Vice President, Commercial Lines. This role supports customers and the brokerage team by providing exceptional customer service and acting as a broker representing the buyer. 

Salary

• $150,000 to $175,000+/year 
• Comprehensive benefits package

Job Description

• Strong Underwriting, Finance, or Legal background preferred.
• Lead and direct a dedicated team to ensure seamless service.
• Assist clients with navigating their options and making informed coverage decisions.
• Spearhead marketing initiatives.
• Develop and execute underwriting strategies to achieve profitability, growth, and portfolio management objectives.
• Manage and mentor underwriting staff, ensuring technical excellence and adherence to company standards.
• Collaborate with actuarial, claims, legal, and distribution partners to design innovative risk solutions for clients and brokers.
• Build and maintain strong relationships with brokers, clients, and industry partners.
• Monitor market trends, regulatory developments, and emerging risks to inform underwriting decisions.
• Provide authority guidance, referrals, and support for complex underwriting decisions.

Requirements

• Bachelor’s degree and advanced degree (JD, CPA, MBA) required.
• Minimum of 7-10 years of professional experience, with insurance industry experience a plus.
• Superior Communication skills, attention to detail
• Comfort negotiating directly with underwriters
• Superior skills with MS Office, specifically MS Excel

Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion. 

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Technical Claims Director, Property & Casualty

Job Summary

Seeking a highly skilled and experienced Technical Claims Director, Property & Casualty to join a growing Claims Compliance and Quality Assurance team. This is a critical role for an accomplished insurance claims compliance professional or attorney with deep knowledge of insurance claims regulations, processes, and technology. You will play a pivotal role in safeguarding the organization from regulatory risks, ensuring compliance, and driving continuous improvement in claims handling practices.

Compensation Package

• Salary Range: $130,000 - $180,000 per year (based on experience and qualifications).
• Competitive benefits package, 401(k), paid time off, professional development opportunities, etc.

Responsibilities

As the Technical Claims Director, you will:

• Manage and maintain a 50-state claims database.
• Monitor legislation, DOI bulletins, court decisions, and statutory changes; manage backlog and implement targeted compliance training.
• Develop and oversee controls related to Medicare, OFAC, Child Support Lien Network, and other federal protocols.
• Collaborate with Claims Technical, Legal, and IT teams to design controls and workflows aligned with regulatory requirements.
• Lead responses to regulatory inquiries and complaints.
• Deliver training and provide legal support to internal teams and vendors.
• Develop audit programs and dashboards to monitor compliance effectiveness.
• Oversee and support technology-related compliance integrations.
• Provide executive reporting, trends analysis, and regulatory insights.

Qualifications/Requirements

• 10+ years of experience in claims compliance, insurance regulation, or legal operations.
• A degree in law, risk management, or a related field is required; J.D. is highly preferred.
• Advanced insurance compliance certifications (e.g., CPCU, CIPP, CAMS, CRCM) are a plus.
• Strong understanding of claims handling regulations, Medicare protocols, and market conduct standards.
• Experience managing compliance in a 50-state claims environment across multiple lines of business.
• Knowledge of Medicare Secondary Payer requirements and Section 111 reporting.
• Strong research and policy writing skills.
• Excellent collaboration, project management, and problem-solving abilities.
• Experience with regulatory audit preparation and response.

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