What are the responsibilities and job description for the Compliance Analyst I position at West Bend Insurance Company?
Company Overview
Recognized as a Milwaukee Journal Sentinel Top Workplace for 12 consecutive years, including three years of being honored as number one! Join us at West Bend, where we believe that our associates are our greatest asset. We hire talented individuals who are conscientious, dedicated, customer focused, and able to build lasting relationships. We create and maintain an environment where you feel a sense of belonging and appreciation. Your diversity of thought, experience, and knowledge are valued. We’re committed to fostering a welcoming culture, offering you opportunities for meaningful work and professional growth. More than a workplace, we celebrate our successes and take pride in serving our communities.
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Responsibilities & Qualifications
Summary of Experience
Manage work for the assigned states/jurisdictions as designated by Supervisor. Ensure all required data is reported to States and other entities accurately and within jurisdictional periods. Analyze policy and other claims documentation, entering claim and/or payment data in applicable systems. Manage diary timely for reporting or other claim activities. Review state reports for accuracy and compliance. Provide technical direction to claim representatives. Adhere to all state and federal requirements to avoid penalty assessments. Correct errors on a timely basis. Participate in the investigation of and resolution of any inquiries, fines, or penalties. Serve as a point of contact to facilitate resolution of any EDI (Electronic Data Interchange) issues. Consistently exhibit a high level of customer service and adherence to department audit guidelines.
Preferred Experience and Skills
- 2 years of experience adjusting claims or claims support 3 years of data entry experience
- Knowledge of Medicare compliance and/or state reporting requirements
- Knowledge of medical, legal and insurance terminology
- Detail oriented, analytic, and organized
- Ability to work independently and solve problems
- Written, verbal communication and mathematical skills
- Interpersonal skills
- Basic knowledge of personal computers, Microsoft Word, and Excel
Preferred Education and Training
- High school diploma or equivalent
- Related industry experience
INDSP
EEO
West Bend provides equal employment opportunities to all associates and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, and promotion.
