Senior Analyst, Claims Compliance

Senior Analyst, Claims Compliance

Branch is on a mission to make insurance less expensive, so more people can be covered. We innovate using data, tech, and automation to simplify insurance from start to finish—we eliminated inaccurate quotes in favor of real prices, created a better way to bundle, and cut unnecessary costs in the traditional insurance process. Then we pass those savings along to our members. Basically, we’re doing insurance the way it was meant to be.

But we didn’t just create the insurance we’ve always wanted, we also created the company we’ve always wanted to work for. As we redefine insurance, we also want to redefine what it means to work in insurance. Find out for yourself.

Branch has a preference for candidates in Ohio, but is open to candidates located in AL, AZ, CT, FL, GA, ID, IL, IN, IA, KS, KY, LA, MD, MA, MI, MN, MS. MO, NE, NV, NJ, NC, ND, OH, OK, PA, SC, SD, TN, TX, UT, VA, and WI. 

Branch is remote first, with most Branchers choosing to work from home. Our headquarters are located in Columbus, Ohio, where we come together from time to time to build relationships and connect with each other in real life. Once a year, the entire company gathers for “BranchFest”, a highlight of the year for many Branchers.

About the Senior Analyst, Claims Compliance role:
As a Senior Analyst, Claims Compliance at Branch, you’ll be supporting our claims team to better serve our members. Acting as a compliance subject matter expert (SME) you’ll be ensuring compliance in claims operations and leading claims compliance initiatives. 

We’re building a technology-first and data-driven claims experience to enhance client experience while eliminating traditional claims inefficiencies. We are in need of an experienced insurance professional to support our claims department. The ideal candidate will be a detail-oriented “do-er”. They should not be afraid to roll their sleeves up to ensure we’re supporting the claims department all while making sure we’re delivering on our promise to the Branch members.

Branch is remote native, so this position may be located anywhere in the U.S. (although Ohio is strongly preferred) with occasional travel to Columbus, OH (HQ).

Key Responsibilities

• Researches, analyzes, and communicates claims compliance requirements to ensure adherence to regulations and standards

• Ensure compliance with Medicare Secondary Payer (MSP) regulations and guidelines 

• Stay up to date with state and federal insurance regulations and guidelines

• Communicate and coordinate with the Centers for Medicare & Medicaid Services (CMS) on Medicare-related claims issues and inquiries

• Oversees Section 111 reporting

• Assist with creating and documenting claims compliance resources 

• Collaborate with stakeholders on tracking, analyzing and reporting on regulatory changes impacting claims

• Identify trends or areas for improvement and actionable solutions

• Manage and develop claim letters to ensure compliance

• Assist with corrective action planning activities, solutions and monitoring

• Assist with Department of Insurance communications and data calls 

• Partner with other business functions to drive compliance 

• Create and maintain detailed reporting

• May perform other responsibilities or duties as assigned

Skills Knowledge and Expertise

• Bachelor’s degree or equivalent experience

• Five (5) more years of combined insurance experience in auto and  property claims

• Two (2) or more years of experience in a compliance or audit role with an emphasis on Medicare compliance

• Broad knowledge of claims compliance laws, regulations and Section 111 requirements 

• Experience with complaint handling procedures 

• Ability to work cross-functionally with other areas of the business 

• Excellent written and verbal communication skills, with the ability to convey complex information clearly and concisely

• Ability to work independently and manage multiple priorities and pivot in a fast paced environment

• Creative, out of the box thinker who has a passion for helping others

• Ability to “Call the Play” with imperfect information

• Proficient using the Microsoft Office suite and Google suite

• Instinctually identify opportunities and create data-supported solutions

• Insurance designation (AIC, SCLA, CPCU, etc.) is a plus

Why join us at Branch? 

We’re all about getting back to getting each other’s back—that means Branchers, too. So we provide benefits that let you work and live to your fullest.

• Above-market salary—Branch is a data-driven company, so we do the math on salaries, too. If you get an offer from Branch, you can expect compensation that hits above the mark.

• Pay equity and transparency—Our pay isn’t just above market, it’s equitable. We let experience and performance drive your success, never your gender, race, orientation, or beliefs. 

• Remote-first (with perks)—Work from where you’re most comfortable. We’ll take care of your work from home set-up and monthly internet. We also have a Columbus headquarters if you’d like to join us in an office. 

• Flexible YouTime—We don’t just let you control your own time off.  We actually encourage you to use it. After your first year at Branch, we’ll give you $1000 toward your next vacation. 

• Employee stock options—You’re not just an employee. If you’re full-time, you’re also a part-owner. You’ll have stock options so you can invest in the company you’re helping to grow. 

• Medical, vision, dental—Get all the coverage you need for a healthy, happy life. 

• 401k and contribution matching—Invest in your future. Branch helps you get to retirement on time with a portion of your contributions matched each month. 

What to expect

In light of recent hiring scams across the United States, here’s what the process will look like with Branch (so you know it’s us):

• Please apply to open positions directly through our site. If you don’t see it here, then it shouldn’t exist on another job board. If you’re ever unsure about the legitimacy of a Branch  job posting found on another site, please check the listings here to verify.

• If you're selected to move onto the next phase of the hiring process, a member of our Branch talent team will reach out to you directly from the email domain @ourbranch.com to guide you through our process.

• The process will include a number of interviews, which will all happen either over the phone or on video calls. 

• We will never ask for personal payment or require you to purchase equipment during our interview process. Always be sure to protect your personal information.

Equal Employment Opportunity Employer 

At Branch, we are deeply committed to community. Branch is an Equal Employment Opportunity employer – All qualified applicants and/or employees will receive consideration for employment without regard to the individual’s age, race, color, religion or creed, national origin or ancestry, sex (including pregnancy), sexual orientation, gender, gender identity, physical or mental disability, veteran status, genetic information, ethnicity, citizenship, or any other characteristic protected by law.