Compliance & Regulatory Reporting Analyst – Corporate Claims

Great American Insurance Group

. Provide operational support for Medicare and Electronic Data Interchange (EDI)-related processes .

Posted 10/28/2026full-timeUnited StatesMid-LevelSenior💰 $61,200 - $72,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Medicare and Electronic Data Interchange (EDI) processes, with strong analytical skills to identify trends and resolve claims-related issues. Proficient in developing reports and collaborating with business partners to enhance operational efficiency.

Highest-signal resume keywords

Medicare Operational SupportElectronic Data Interchange (EDI)Claims Data AnalysisProblem-Solving SkillsCommunication and Collaboration

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisClaims OperationsRoot Cause AnalysisReporting DevelopmentProcess Improvement

Soft Skills

Analytical SkillsProblem-SolvingCommunication SkillsCollaboration SkillsOwnership of Issues

Industry Keywords

Property and Casualty InsuranceCommercial ClaimsWorkers' CompensationLiability ClaimsRegulatory Reporting

About the role

Key responsibilities & impact

Provide operational support for Medicare and Electronic Data Interchange (EDI)-related processes
Monitor and manage incoming Medicare and EDI work, including communications, referrals, errors, rejections, and follow-up requests
Review claims-related data errors and rejections, investigate underlying issues, and implement solutions with business partners
Analyze incoming work and data to identify recurring issues, trends, patterns, and process improvement opportunities
Communicate with claims professionals and business partners about data quality issues, EDI errors, Medicare matters, and corrective actions
Troubleshoot issues, determine root causes, and independently resolve problems when appropriate
Develop and maintain reports and metrics covering trends, recurring issues, workload, and operational findings
Collaborate with claims divisions, business units, and internal partners to complete work accurately and according to established guidelines
Escalate complex or recurring issues and provide analysis supporting resolution and business decisions
Perform other duties as assigned

Requirements

What you’ll need

Bachelor’s degree in Business Administration, Insurance, Risk Management, Analytics, or a related field, or equivalent 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
Strong analytical and problem-solving skills
Ability to review information, identify patterns and trends, investigate errors, and determine root causes
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
Strong communication and collaboration skills
Ability to gather and analyze data, develop meaningful reporting, and communicate findings and trends
Must be authorized to work in the United States without the need for current or future sponsorship

Benefits

Comp & perks

Medical coverage
Dental coverage
Vision coverage
Wellness plans
Parental leave
Adoption assistance
Tuition reimbursement
Paid Time Off
Paid holidays
401(k) plan with company match
Employee stock purchase plan
Commuter benefits