What are the responsibilities and job description for the Senior Claims Compliance Analyst position at The Jonus Group?
Job Description
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
As the Technical Claims Director, you will:
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.
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.
- 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.
Salary : $130,000 - $180,000