Compliance & Regulatory Reporting Analyst - Corporate Claims

Great American Insurance Group; Windsor (CT); Hybrid; USD 61,000 - 72,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) match

Paid time off

Commuter benefits

Job summary

Great American Insurance Group is seeking a Compliance & Regulatory Reporting Analyst to support Medicare and EDI processes within Corporate Claims. The role offers a hybrid in-office/remote arrangement across Cincinnati, Richfield, or Windsor CT, emphasizing data quality, analytics, and cross-functional collaboration.

The ideal candidate has a Bachelor’s degree in a related field and at least 3 years of claims or regulatory reporting experience, with Medicare/EDI exposure viewed as a plus.

Qualifications

• Education: Bachelor’s degree in Business Administration, Insurance, Risk Management, Analytics, or related field, or equivalent experience.
• Generally, a minimum of 3 years of related experience in property & casualty claims preferred.
• Experience with Medicare or EDI is beneficial but not required.

Responsibilities

• Provides operational support for Medicare and EDI-related processes to ensure timely activities.
• Monitors Medicare and EDI work, including referrals, errors, rejections, and follow-up requests.
• Reviews data errors, investigates issues, and works with partners to implement solutions.
• Analyzes incoming work to identify patterns and opportunities for process improvement.
• Communicates data quality issues and corrective actions to claims professionals.
• Troubleshoots issues, identifies root causes, and resolves problems when appropriate.
• Develops and maintains reports and metrics for stakeholders.
• Collaborates with claims divisions and internal partners to ensure accurate work per guidelines.
• Escalates complex issues with clear information to support timely resolution.
• Performs other duties as assigned.

Skills

Medicare knowledge

EDI processes

Data analysis

Communication skills

Claims experience

Education

Bachelor’s degree in Business Administration, Insurance, Risk Management, Analytics, or related field

Job description

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group’s member companies are subsidiaries of American Financial Group. We combine a “small company” culture where your ideas will be heard with “big company” expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.

At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.

This position is not eligible for employment visa sponsorship. Applicants must be authorized to work in the United States without the need for current or future sponsorship.

Great American’s Corporate Claims department provides specialized expertise and shared services that support claims operations across the organization. From claims practices and compliance to technology, analytics, legal support, investigations, and reinsurance, the team helps equip our claims professionals with the resources and expertise needed to deliver effective claim outcomes.

Corporate Claims is hiring for a Compliance & Regulatory Reporting Analyst! This position can be located in our Cincinnati (OH), Richfield (OH), or Windsor (CT) offices.

Great American’s culture is built on connection, shared learning, and strong relationships. This is a hybrid role that combines in-office and remote work. Employees are expected to maintain a meaningful on-site presence to support collaboration, relationship building, and business success

Essential Job Functions and Responsibilities

• Provides operational support for Medicare and Electronic Data Interchange (EDI)-related processes, ensuring timely and accurate completion of critical business activities.


• Monitors and manages incoming Medicare and EDI work, including communications, referrals, errors, rejections, and other requests requiring follow-up or resolution.


• Reviews claims-related data errors and rejections, investigates underlying issues, and works with appropriate business partners to identify and implement solutions.


• Analyzes incoming work and data to identify recurring issues, trends, patterns, and opportunities to improve operational processes.


• Communicates with claims professionals and other business partners regarding data quality issues, EDI errors, Medicare-related matters, and required corrective actions.


• Applies knowledge of claims processes and business operations to troubleshoot issues, determine root causes, and independently resolve problems when appropriate.


• Develops and maintains reports and metrics to communicate trends, recurring issues, workload, and other operational findings to stakeholders.


• Collaborates with claims divisions, business units, and internal partners to ensure work is completed accurately and in accordance with established guidelines and expectations.


• Escalates complex or recurring issues and provides clear information and analysis to support timely resolution and business decisions.


• Performs other duties as assigned.

Job Requirements

• Education: Bachelor’s degree in Business Administration, Insurance, Risk Management, Analytics, or a related field, or equivalent experience.


• 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.


• Scope of Job/Qualifications: Provides operational and analytical support for critical Medicare and claims EDI processes. Demonstrates strong analytical and problem-solving skills with the ability to review information, identify patterns and trends, investigate errors, and determine root causes. Exhibits the ability to independently manage incoming work, prioritize responsibilities, take ownership of issues, and elevate when appropriate. Knowledge of property and casualty claims processes, regulatory reporting, or claims operations is preferred. Demonstrates strong communication and collaboration skills when working with claims professionals, business units, and other internal stakeholders. Ability to gather and analyze data, develop meaningful reporting, and communicate findings and trends that support operational effectiveness and continuous improvement.

This job is non-exempt in Washington.

Business Unit:

Corporate Claims

Salary Range:

$61,200.00 -$72,000.00

Benefits:

We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits.

Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at http://www.gaig.com/careers.

*Excludes seasonal employees and interns.