Commercial Claims Policy & Standards Analyst

External candidates: In order for your application to be correctly processed please sign-in before you apply

Internal candidates: Please go to Workday and click "Find Jobs" link under Career

Thank you for considering opportunities with us!

Job Title

Commercial Claims Policy & Standards Analyst

Requisition Number

R7475 Commercial Claims Policy & Standards Analyst (Open)

Location

Oklahoma - Home Teleworkers

Additional Locations

Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker {+ 20 more}

Job Information

We're Mobilitas, a commercial insurance company created by CSAA Insurance. Our mission is to reinvent commercial insurance in the mobility space by providing technologically advanced solutions for today’s way of doing business. At Mobilitas, we believe in what's possible, we use our inventive skills to create new opportunities - we're not chasing the status quo, we're chasing a shared vision. We’re looking for motivated, innovative individuals who think big, move fast and are dedicated to creating a company from the ground up, without the constraints of a traditional insurance company. We’re excited to push the boundaries of commercial insurance and are looking for enthusiastic team members to help us reimagine insurance. We are actively hiring for a Commercial Claims Policy & Standards Analyst!

Your Role:

Works on regulatory and legislative issues that require analysis and evaluation of the impact on Commercial claims and determination on how to respond and implement most effectively. Research to actively stay ahead of regulatory activity. Takes an active role in developing, modifying, and executing Commercial policies that reflect claims best practices, affect operations, and may have broad impacts. Exercises independent judgment in developing methods and techniques and evaluating criteria for obtaining results. Works in alignment with Claims Process Managers.

Your work:

• Supports audit oversight internally and externally by providing requested data materials to auditors, validating information, and acting as Subject Matter Expert to interpret and address audit questions.
• Partners with claims centers when a complaint is filed by an insured or claimant regarding the handling of a claim, including denials. Reviews and analyzes claims file to ensure compliance with state DOI regulations and determine appropriate solutions.
• Participates in developing strategies for deployment of Claims-wide initiatives, including those specific to one or more Claims disciplines. Partners on implementations and has accountability for assigned pieces of implementation projects.
• Identifies need to create or update Claims documents including Policy and Procedures Guide, shared drive contents, SharePoint site and Policy Matrix. Maintains, creates, and redesigns materials as needed.
• Fields, researches, troubleshoots, and responds to ad hoc requests and questions, providing Subject Matter Expert support to the business relating to all DOI, legislative, compliance and policy and procedures issues. Recommends changes to statutory language to ensure correctness and compliance.
• Manage updates for corporate compliance regulatory reporting (i.e., Medicare, NJAIRE, OFAC, Kansas Fire, etc.).
• Stays apprised of industry best practices and changes to existing and new regulations. Reviews, analyzes, and determines impacts on Claims and ensures current information is available and communicated to Claims organization. Creates and deploys Claims-wide communications in the Policy and Standards space.
• Engages with other lines of business (e.g., Product, Underwriting, etc.) to determine rate and policy language impacts of lower complexity to Claims. Discerns and takes appropriate actions to address.

Required Experience, Education and Skills

• 5+ years of claims or related insurance experience
• Bachelor's degree in related area or an equivalent combination of education and experience
• Claims technical knowledge and claims handling ability
• Detail-orientation
• Knowledge of Commercial organization, products, policies, and procedures
• Strong written and verbal communication skills and the ability to craft effective communications to audiences throughout Claims organization
• Good analytical and research skills
• Knowledge of claims best practices
• Ability to use Microsoft Office programs (i.e., Excel, Outlook, PowerPoint)
• Proficiency in use of claims systems
• Ability to work independently with minimal supervision
• Knowledge of state and federal insurance regulations, including multi-state DOIs

What would make us excited about you?

• Experience in multiple claims disciplines
• Actively shapes our company culture (e.g., participating in employee resource groups, volunteering, etc.)
• Lives into cultural norms (e.g., willing to have cameras when it matters: helping onboard new team members, building relationships, etc.)
• Travels as needed for role, including divisional / team meetings and other in-person meetings
• Fulfills business needs, which may include investing extra time, helping other teams, etc

Mobilitas Careers    

At Mobilitas, we’re proudly devoted to protecting our customers, our employees, our communities, and the world at large. We are on a climate journey to continue to do better for our people, our business, and our planet. Taking bold action and leading by example. We are citizens for a changing world, and we continually change to meet it.   

Join us if you…  

• BELIEVE in a mission focused on building a community of service, rooted in inclusion and belonging.  

• COMMIT to being there for our customers and employees.  

• CREATE a sense of purpose that serves the greater good through innovation.     

Recognition: We offer a total compensation package, performance bonus, 401(k) with a company match, and so much more!  Read more about what we offer and what it is like to be a part of our dynamic team at careers.mobilitasinsurance.com 

In most cases, you will have the opportunity to choose your preferred working location from the following options when you join us: remote, hybrid, or in-person. Submit your application to be considered. We communicate via email, so check your inbox and/or your spam folder to ensure you don’t miss important updates from us.  

If a reasonable accommodation is needed to participate in the job application or interview process, please contact jobs@mobilitasinsurance.com 

 As part of our values, we are committed to supporting inclusion and diversity. We actively celebrate colleagues’ different abilities, sexual orientation, ethnicity, and gender. Everyone is welcome and supported in their development at all stages in their journey with us.  

We are always recruiting, retaining, and promoting a diverse mix of colleagues who are representative of the U.S. workforce. The diversity of our team fosters a broad range of ideas and enables us to design and deliver a wide array of products to meet customers’ evolving needs.  

Mobilitas is an equal opportunity employer.     

If you apply and are selected to continue in the recruiting process, we will schedule a preliminary call with you to discuss the role and will disclose during that call the available salary/hourly rate range based on your location. Factors used to determine the actual salary offered may include location, experience, or education.  

Must have authorization to work indefinitely in the US 

Please note we are hiring for this role remote anywhere in the United States

with the following exceptions:  Hawaii and Alaska. 

#LI-ML1

.