Blue Cross Blue Shield of Michigan

Compliance Analyst

Blue Cross Blue Shield of Michigan  •  $54k - $91k/yr  •  United States (Onsite)  •  1 day ago
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Job Description

This position will be involved with supporting enterprise compliance goals through research and analysis of regulatory claims and/or policy compliance items, assisting with the establishment and implementation of enterprise best practices, involvement with claims and product filings, and internal systems support. This position will also assist with development of enterprise compliance procedures and training and participate in compliance audits to ensure consistent application of compliance-driven processes throughout the enterprise.

RESPONSIBILITIES/TASKS:

  • Analyzes, research and reports on regulatory claims and/or policy compliance trends, issues, laws, rules, regulations and assists with the establishment and implementation of best practices.

  • Keeps abreast of compliance with the best practices and procedures for all applicable states and lines of business.

  • Assists with the development and implementation of reference materials, training programs, and other pertinent communications.

  • Assists in researching, developing, and providing input on compliance policies and procedures.

  • Assists in researching new states and/or lines of business for potential compliance concerns and provides educational material, as necessary.

  • Participates in compliance audits to ensure consistent application of compliance processes throughout enterprise, including determining audit parameters, reviewing files, analyzing results, and contributing to communication of audit findings.

  • Assists with researching and responding to questions and concerns from business units and others on compliance-related processes and decisions.

  • Assists with implementation and validation of compliance requirements for diversification efforts.

  • Tracks fines, fees and penalties related to claims and/or policy compliance for the enterprise.

  • Assist with review of fines, fees and penalties related to claim and/or policy compliance, including identifying root cause and identifying procedure gaps.

  • Other duties, as assigned.

This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.

EMPLOYMENT QUALIFICATIONS:

EDUCATION:

Bachelor’s degree in business administration, Finance or related field or the equivalent in relevant coursework and experience. Continuous learning required, as defined by the Company’s learning philosophy. Certification, or progress toward, highly preferred and encouraged. CPCU designation strongly preferred.

EXPERIENCE:

Compliance Analyst

Minimum two years’ experience in a Worker’s Compensation or Property & Casualty compliance environment, or equivalent. Thorough familiarity with Worker’s Compensation or Property & Casualty insurance concepts that provide the necessary skills, knowledge, and abilities.

SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:

COMPLIANCE ANALYST:

  • Detail oriented.

  • Good organizational skills.

  • Ability to analyze and solve problems.

  • Above average verbal and written communication, interpersonal and customer service skills.

  • Knowledge of workers’ compensation insurance and underwriting techniques.

  • Knowledge of insurance operations, jurisdictional property and casualty laws, regulatory authorities and industry trends and their impact.

  • Proficient in Microsoft Windows including spreadsheet applications and Microsoft Word.

  • Ability to work independently, as well as within a team.

PAY RANGE:

Actual compensation decision relies on the consideration of internal equity, candidate’s skills and professional experience, geographic location, market, and other potential factors. It is not the standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $54,000 and $90,550.

WORKING CONDITIONS:

Work is performed in an office setting or remote setting with no unusual hazards. Minimal travel may be required with occasional overnight stays.

The qualifications listed above are intended to represent the minimum education, experience, skills, knowledge, and ability levels associated with performing the duties and responsibilities contained in this job description.

We are an Equal Opportunity Employer. Diversity is valued and we will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract.

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Blue Cross Blue Shield of Michigan

About Blue Cross Blue Shield of Michigan

Blue Cross Blue Shield of Michigan is a nonprofit corporation and an independent licensee of the Blue Cross and Blue Shield Association.

BCBSM's commitment to Michigan is what differentiates it from other health insurance companies doing business in the state. That mission has never changed. Nearly 70 years ago, Blue Cross Blue Shield of Michigan started with a purpose to provide people with the security of knowing they have health care when they need it.

Today, that nonprofit mission is the same and the company is accomplishing it in many ways, including:

Offering access to health care coverage for everyone, regardless of circumstances

Never dropping your coverage for health reasons

Partnering with the state to cover more than 32,000 children through MIChild

Providing financial support to 30 free clinics statewide

Contributing more money than any other company to provide Michigan with better health and health care

Advocating and educating through Alliance for Advancing Nonprofit Health Care

For more on the history of BCBSM, please visit our section on historical highlights: http://www.bcbsm.com/home/bcbsm/1930.shtml

Industry
Finance & Insurance
Company Size
10,000+ employees
Headquarters
Detroit, Michigan
Year Founded
Unknown
Website
bcbsm.com
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