Senior Claims Compliance Analyst (Insurance)

TL;DR

Senior Claims Compliance Analyst (Insurance): Safeguarding the organization from regulatory risk by managing 50-state claims databases and ensuring adherence to federal protocols with an accent on insurance claims regulations and technology. Focus on designing compliance controls, leading regulatory inquiries, and developing audit programs to support the growth of hirify.global USA.

Location: Must be based in the US (Atlanta, Boston, Chicago, Manhattan, Scottsdale, or West Hartford). Hybrid expectations: minimum of two days per week in office, or fully remote.

Compensation: $90,000–$150,000

Company

hirify.global USA is a fast-growing business unit of the hirify.global Group, specializing in commercial insurance products for small and middle-market clients.

What you will do

• Manage and maintain the 50-state claims database and monitor legislative changes.
• Develop and own compliance controls related to Medicare, OFAC, and federal protocols.
• Partner with Legal and IT teams to design workflows aligned with regulatory requirements.
• Lead the US Claims response to regulatory inquiries and complaints.
• Develop audit programs and dashboards to monitor compliance effectiveness.
• Deliver training and legal support to internal teams and vendors.

Requirements

• 10+ years of experience in claims compliance, insurance regulation, or legal operations.
• Degree in law, risk management, or a related field.
• Deep understanding of claims handling regulations, Medicare protocols, and market conduct standards.
• Experience with multiple lines of business in a 50-state claims environment.
• Strong research and policy writing skills.
• Must be authorized to work in the US.

Nice to have

• J.D. degree.
• Advanced insurance compliance certifications (CPCU, CIPP, CAMS, CRCM).
• Scrum or PMP certification.

Culture & Benefits

• Comprehensive health, vision, and dental insurance with FSA plans.
• 401(k) with competitive company matching.
• 24 days of PTO plus holidays and floating days.
• Paid parental leave and 4-week paid sabbatical every 5 years.
• Annual fitness reimbursement and mental health support via Headspace.
• Values-driven culture with strong focus on community involvement and volunteerism.