Medicare Regulatory Reporting Analyst - Hybrid

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

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.