Regulatory Claims Analyst - CMS & EDI Reporting

Msig USA; Atlanta (GA); Ibrido; USD 65.000 - 90.000; Tempo pieno

Descrizione del lavoro

MSIG USA in Atlanta is seeking a Compliance Analyst to monitor, analyze, and help ensure adherence to federal and state claim-related regulatory requirements. The role supports workers’ compensation EDI reporting and CMS reporting obligations, working with Claims, Operations, IT, and vendors to promote timely regulatory reporting.

The ideal candidate has experience with CMS Medicare Secondary Payer/Section 111 reporting, strong data analytics and documentation skills, and proficiency in

Competenze

• Bachelor's degree or equivalent experience in business, insurance, risk management, compliance, data analytics, or related field.
• Experience in insurance claims, regulatory compliance, workers' compensation, or regulatory reporting preferred.
• Exposure to CMS Medicare Secondary Payer/Section 111 reporting preferred.

Mansioni

• Analyze regulatory changes and assess their impact on claim systems, data, reporting, and processes.
• Translate regulatory requirements into clear business and data requirements.
• Maintain documentation of reporting requirements, deadlines, data elements, and compliance obligations.
• Assist with CMS reporting and regulatory inquiries, data requests, examinations, and testing of system changes.

Conoscenze

Regulatory compliance

Data analysis

Reporting & dashboards

CMS reporting

EDI reporting

Workers' compensation knowledge

Root-cause analysis

Documentation

Written communication

Formazione

Bachelor's degree in business, insurance, risk management, compliance, data analytics, or related field

Strumenti

Guidewire ClaimCenter

Microsoft Office

Descrizione del lavoro

MSIG USA in Atlanta is seeking a Compliance Analyst to monitor, analyze, and help ensure adherence to federal and state claim-related regulatory requirements. The role supports workers’ compensation EDI reporting and CMS reporting obligations, working with Claims, Operations, IT, and vendors to promote timely regulatory reporting.

The ideal candidate has experience with CMS Medicare Secondary Payer/Section 111 reporting, strong data analytics and documentation skills, and proficiency in