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 ...
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 ...
Quick apply
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 ...
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 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 ...
Fremont, CA · On-site
$78K - $114K/yr
The ESIS Claims Compliance Specialist supports compliance and operational excellence within the claims department, with a strong focus on workers' compensation claims. This role is responsible for ...
Fremont, CA · On-site
$78K - $114K/yr
The ESIS Claims Compliance Specialist supports compliance and operational excellence within the claims department, with a strong focus on workers' compensation claims. This role is responsible for ...
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.
Fremont, CA · Hybrid
$27.50 - $38/hr
The ESIS Claims Compliance Specialist supports compliance and operational excellence within the claims department, with a strong focus on workers' compensation claims. This role is responsible for ...
Fremont, CA · Hybrid
$27.50 - $38/hr
The ESIS Claims Compliance Specialist supports compliance and operational excellence within the claims department, with a strong focus on workers' compensation claims. This role is responsible for ...
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 ...
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 ...
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 Compliance Specialist ensures regulatory compliance and operational excellence in claims handling, supporting adjusters and leaders through expert guidance, training, and process improvement.
Plano, TX · On-site
$18 - $22.75/hr
Other duties as they apply Understanding of claims compliance and state mandated regulations (10%) * Follow mandates required by state statues and regulation regarding claims correspondence.
Plano, TX · On-site
$18 - $22.75/hr
Other duties as they apply Understanding of claims compliance and state mandated regulations (10%) * Follow mandates required by state statues and regulation regarding claims correspondence.
Plano, TX · On-site
$18 - $22.75/hr
Other duties as they apply Understanding of claims compliance and state mandated regulations (10%) * Follow mandates required by state statues and regulation regarding claims correspondence.
Plano, TX · On-site
$18 - $22.75/hr
Other duties as they apply Understanding of claims compliance and state mandated regulations (10%) * Follow mandates required by state statues and regulation regarding claims correspondence.
Great Neck, NY · Hybrid
In this role, the Claims Quality Assurance Specialist will conduct pre- and post-payment claims audits to ensure claim accuracy, regulatory compliance, and adherence to company policies. The Claims ...
Great Neck, NY · Hybrid
In this role, the Claims Quality Assurance Specialist will conduct pre- and post-payment claims audits to ensure claim accuracy, regulatory compliance, and adherence to company policies. The Claims ...
Great Neck, NY · Hybrid
In this role, the Claims Quality Assurance Specialist will conduct pre- and post-payment claims audits to ensure claim accuracy, regulatory compliance, and adherence to company policies. The Claims ...
Quick apply
Great Neck, NY · Hybrid
In this role, the Claims Quality Assurance Specialist will conduct pre- and post-payment claims audits to ensure claim accuracy, regulatory compliance, and adherence to company policies. The Claims ...
West Palm Beach, FL · Remote
Knowledge of regulatory requirements, privacy standards, and claims compliance best practices, including HIPAA when applicable. * Experience participating in client claim reviews, mediations ...
New
Quick apply
West Palm Beach, FL · Remote
Knowledge of regulatory requirements, privacy standards, and claims compliance best practices, including HIPAA when applicable. * Experience participating in client claim reviews, mediations ...
New
Lakeland, FL · On-site
$10K - $15K/mo
This role suits a strategic leader who can balance people, operations, analytics, litigation, compliance, and cost management while improving liability risk, claims performance, customer experience ...
Lakeland, FL · On-site
$10K - $15K/mo
This role suits a strategic leader who can balance people, operations, analytics, litigation, compliance, and cost management while improving liability risk, claims performance, customer experience ...
Execute jurisdictional compliance requirements and support others in understanding regulatory obligations. * Investigate and manage suspicious claims using advanced techniques and tools; refer to the ...
Execute jurisdictional compliance requirements and support others in understanding regulatory obligations. * Investigate and manage suspicious claims using advanced techniques and tools; refer to the ...
Carlsbad, CA · On-site
$68K - $88K/yr
Execute jurisdictional compliance requirements and support others in understanding regulatory ... Typically requires 5-10 years of claims handling experience. * Must possess or obtain and maintain ...
Carlsbad, CA · On-site
$68K - $88K/yr
Execute jurisdictional compliance requirements and support others in understanding regulatory ... Typically requires 5-10 years of claims handling experience. * Must possess or obtain and maintain ...
Identifiesand implements claims best practices in all operating units for proper and consistent claimsperformance toinclude management responsibility for claims compliance (OFAC, Medicare Reporting ...
Identifiesand implements claims best practices in all operating units for proper and consistent claimsperformance toinclude management responsibility for claims compliance (OFAC, Medicare Reporting ...
$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.
Cities with the most Claims Compliance job openings:
States with the most job openings for Claims Compliance jobs include:
The top searched job categories for Claims Compliance jobs are:

Full-time
Retirement
Re-posted 29 days ago
6.8
Based on 115 frontline employees who took The Breakroom Quiz
4th of 9 rated taxi private hire
Sourced by ZipRecruiter
Ground public transportation, software development and it services
10,000+ Employees
San Francisco, CA, US