Manager, Claims Compliance
Chicago, IL · On-site
As our Claims Compliance Manager, you will own the internal quality framework for First-Notice-of-Loss (FNOL), steward the end-to-end Claims SOX control environment, and hold external carrier ...
Chicago, IL · On-site
As our Claims Compliance Manager, you will own the internal quality framework for First-Notice-of-Loss (FNOL), steward the end-to-end Claims SOX control environment, and hold external carrier ...
Chicago, IL · On-site
As our Claims Compliance Manager, you will own the internal quality framework for First-Notice-of-Loss (FNOL), steward the end-to-end Claims SOX control environment, and hold external carrier ...
Chicago, IL · On-site +1
As our Claims Compliance Manager, you will own the internal quality framework for First-Notice-of-Loss (FNOL), steward the end-to-end Claims SOX control environment, and hold external carrier ...
Chicago, IL · On-site +1
As our Claims Compliance Manager, you will own the internal quality framework for First-Notice-of-Loss (FNOL), steward the end-to-end Claims SOX control environment, and hold external carrier ...
Buffalo, NY · Remote
$115K - $125K/yr
The Compliance Manager - Health Care Claims serves as the organization's subject matter expert (SME) on regulatory compliance matters pertaining to self-funded and level-funded health plan products ...
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Buffalo, NY · Remote
$115K - $125K/yr
The Compliance Manager - Health Care Claims serves as the organization's subject matter expert (SME) on regulatory compliance matters pertaining to self-funded and level-funded health plan products ...
East Longmeadow, MA · On-site
$60K - $70K/yr
We are seeking a Claims Compliance Analyst to join our client's team! This is a fully remote position with a great company offering fantastic benefits. The Claims Compliance Analyst is responsible ...
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East Longmeadow, MA · On-site
$60K - $70K/yr
We are seeking a Claims Compliance Analyst to join our client's team! This is a fully remote position with a great company offering fantastic benefits. The Claims Compliance Analyst is responsible ...
Los Angeles, CA · On-site
$152K - $188K/yr
Job Summary The Manager, Claims Compliance is responsible for ensuring Core Administrative Operations meet federal, state, and contractual regulatory requirements. This position oversees regulatory ...
Los Angeles, CA · On-site
$152K - $188K/yr
Job Summary The Manager, Claims Compliance is responsible for ensuring Core Administrative Operations meet federal, state, and contractual regulatory requirements. This position oversees regulatory ...
Los Angeles, CA · On-site
$152K - $188K/yr
Job Summary The Manager, Claims Compliance is responsible for ensuring Core Administrative Operations meet federal, state, and contractual regulatory requirements. This position oversees regulatory ...
Los Angeles, CA · On-site
$152K - $188K/yr
Job Summary The Manager, Claims Compliance is responsible for ensuring Core Administrative Operations meet federal, state, and contractual regulatory requirements. This position oversees regulatory ...
Webster, NY · On-site
$70K - $80K/yr
Claims & Compliance Systems Specialist Department: TPA Division Reports To: TPA Division Manager FLSA Status: Non-Exempt Employment Status: Full-Time, Monday-Friday, 8:30am-5:00pm, Hybrid after 90 ...
New
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Webster, NY · On-site
$70K - $80K/yr
Claims & Compliance Systems Specialist Department: TPA Division Reports To: TPA Division Manager FLSA Status: Non-Exempt Employment Status: Full-Time, Monday-Friday, 8:30am-5:00pm, Hybrid after 90 ...
New
Webster, NY · On-site
$70K - $80K/yr
Claims & Compliance Systems Specialist Department: TPA Division Reports To: TPA Division Manager FLSA Status: Non-Exempt Employment Status: Full-Time, Monday-Friday, 8:30am-5:00pm, Hybrid after 90 ...
Webster, NY · On-site
$70K - $80K/yr
Claims & Compliance Systems Specialist Department: TPA Division Reports To: TPA Division Manager FLSA Status: Non-Exempt Employment Status: Full-Time, Monday-Friday, 8:30am-5:00pm, Hybrid after 90 ...
Webster, NY · Hybrid
$70K - $80K/yr
Claims & Compliance Systems Specialist Department: TPA Division Reports To: TPA Division Manager FLSA Status: Non-Exempt Employment Status: Full-Time, Monday-Friday, 8:30am-5:00pm, Hybrid after 90 ...
New
Webster, NY · Hybrid
$70K - $80K/yr
Claims & Compliance Systems Specialist Department: TPA Division Reports To: TPA Division Manager FLSA Status: Non-Exempt Employment Status: Full-Time, Monday-Friday, 8:30am-5:00pm, Hybrid after 90 ...
New
The Claims & Compliance Specialist is responsible for investigating customer complaints, claims, inventory discrepancies, and other operational nonconformances to identify root causes and support ...
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The Claims & Compliance Specialist is responsible for investigating customer complaints, claims, inventory discrepancies, and other operational nonconformances to identify root causes and support ...
The Claims & Compliance Specialist is responsible for investigating customer complaints, claims, inventory discrepancies, and other operational nonconformances to identify root causes and support ...
The Claims & Compliance Specialist is responsible for investigating customer complaints, claims, inventory discrepancies, and other operational nonconformances to identify root causes and support ...
We are currently seeking a Claims and Compliance Coordinator in our Fairview Park, Ohio office to support our Risk Department and help ensure claims, compliance, audits, reporting, and vendor ...
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We are currently seeking a Claims and Compliance Coordinator in our Fairview Park, Ohio office to support our Risk Department and help ensure claims, compliance, audits, reporting, and vendor ...
The Claims & Compliance Specialist is responsible for investigating customer complaints, claims, inventory discrepancies, and other operational nonconformances to identify root causes and support ...
The Claims & Compliance Specialist is responsible for investigating customer complaints, claims, inventory discrepancies, and other operational nonconformances to identify root causes and support ...
Fremont, CA · On-site
$78K - $114K/yr
The ESIS Claims Compliance Specialist is responsible for ensuring compliance and supporting operational excellence within the claims department. This role involves preparing annual reports for self ...
Fremont, CA · On-site
$78K - $114K/yr
The ESIS Claims Compliance Specialist is responsible for ensuring compliance and supporting operational excellence within the claims department. This role involves preparing annual reports for self ...
Tampa, FL · On-site
$22 - $30.25/hr
The Compliance Specialist ensures regulatory compliance and operational excellence in claims handling, supporting adjusters and leaders through expert guidance, training, and process improvement.
Tampa, FL · On-site
$22 - $30.25/hr
The Compliance Specialist ensures regulatory compliance and operational excellence in claims handling, supporting adjusters and leaders through expert guidance, training, and process improvement.
The Compliance Specialist ensures regulatory compliance and operational excellence in claims handling, supporting adjusters and leaders through expert guidance, training, and process improvement.
The Compliance Specialist ensures regulatory compliance and operational excellence in claims handling, supporting adjusters and leaders through expert guidance, training, and process improvement.
The ESIS Claims Compliance Specialist is responsible for ensuring compliance and supporting operational excellence within the claims department. This role involves preparing annual reports for self ...
The ESIS Claims Compliance Specialist is responsible for ensuring compliance and supporting operational excellence within the claims department. This role involves preparing annual reports for self ...
Supports Medicare-related and other claims compliance obligations as applicable by providing process guidance and training to reduce operational risk * Assists with development of practical ...
Supports Medicare-related and other claims compliance obligations as applicable by providing process guidance and training to reduce operational risk * Assists with development of practical ...
Van Wert, OH · On-site +1
Supports Medicare-related and other claims compliance obligations as applicable by providing process guidance and training to reduce operational risk * Assists with development of practical ...
Van Wert, OH · On-site +1
Supports Medicare-related and other claims compliance obligations as applicable by providing process guidance and training to reduce operational risk * Assists with development of practical ...
Dublin, OH · On-site +1
Supports Medicare-related and other claims compliance obligations as applicable by providing process guidance and training to reduce operational risk * Assists with development of practical ...
Dublin, OH · On-site +1
Supports Medicare-related and other claims compliance obligations as applicable by providing process guidance and training to reduce operational risk * Assists with development of practical ...
$40K - $44.7K
8% of jobs
$44.7K - $49.5K
7% of jobs
$53.2K is the 25th percentile. Wages below this are outliers.
$49.5K - $54.2K
12% of jobs
$54.2K - $58.9K
14% of jobs
The median wage is $60.2K / yr.
$58.9K - $63.6K
33% of jobs
$64.2K is the 75th percentile. Wages above this are outliers.
$63.6K - $68.4K
11% of jobs
$68.4K - $73.1K
7% of jobs
$73.1K - $77.8K
4% of jobs
$77.8K - $82.5K
3% of jobs
$82.5K - $87.3K
1% of jobs
$87.3K - $92K
0% of jobs
$40K
$61.6K
$92K
| Aspect | Claims Compliance | Claims Adjuster |
|---|---|---|
| Required Credentials | Certifications in compliance regulations, insurance laws | Licenses in insurance adjusting, certifications like AIC or CPCU |
| Work Environment | Office-based, compliance departments, insurance companies | Field or office-based, investigating claims, interacting with clients |
| Employer & Industry Usage | Insurance companies, regulatory agencies | Insurance carriers, third-party claims firms |
Claims Compliance professionals focus on ensuring insurance claims adhere to legal and regulatory standards, while Claims Adjusters evaluate and settle claims directly with policyholders. Both roles require insurance knowledge, but Claims Compliance emphasizes regulatory adherence, whereas Claims Adjusters handle claim investigations and payouts.

Full-time
Retirement
Posted 8 days ago