illumifin
Posted 16 days agoVerified live 4d ago
Compliance Analyst- Insurance Operations
Brief overview
Remote
UndergradOr in progress
$56k–$72k/yrStated range
2+ yrsMinimum
Insurance OperationsComplaint Investigation and ResponsePII/PHI Disclosure InvestigationHIPAA ComplianceHealthcare Privacy Laws and RegulationsCompliance System TestingLegal Document ReviewPolicy and Procedure MaintenanceHealthcare Privacy and ComplianceBusiness Writing and Document EditingAHIP Long Term Care ProfessionalCHPA (HIPAA Privacy Associate)LOMA
About the company
illumifinillumifin.com
illumifin provides third party administration and technology services to individual and group insurers.
Job description
Summary
illumifin is a provider of business process outsourcing and risk management services for the insurance industry. The Compliance Analyst supports business units with complaint investigations and responses, unauthorized PII/PHI disclosure investigations, legal document reviews, policy and procedure maintenance, compliance system testing, and related compliance projects.
Responsibilities
- Complaint investigation and responses
- Unauthorized PII/PHI Disclosure Investigations
- Conduct reviews of legal documents and related paperwork for proper designee identification
- Placing and removing litigation holds
- Works closely with Sr. Compliance Analysts and Supervisors, Compliance to increase skills
- Complete documentation as required, including the logging of work in CREW
- Provide triage backup for the team email box for daily assignments to analysts
- Policy and Procedure maintenance
- Compliance system (CREW) advancement and testing
- Serve as a topic mentor for Associate Compliance Analyst
- Contribute to the continuous improvement of the department
- Bring innovation, contributes beyond assigned tasks, encourages morale
- Work independently under general supervision with appropriate updates to leadership on progress and risks and some latitude for independent judgment
Skills
- Bachelor's degree or 5 years of experience working in insurance/healthcare administration or compliance
- 2+ years Long Term Care Insurance, health insurance, life insurance, annuity, Medicare supplement or related experience
- 2+ years of experience writing complaint responses and working with internal business units and regulators to resolve complaints
- Strong research and analytical abilities, including gathering, evaluating, interpreting, and synthesizing information from multiple sources
- Ability to identify, investigate, and resolve privacy incidents and potential HIPAA violations
- Experience drafting correspondence, and other business documents with a high degree of accuracy and attention to detail
- Comprehensive knowledge of English grammar, punctuation, spelling, and business writing standards, with the ability to edit and proofread documents for clarity, consistency, and correctness
- Effective quantitative analytical, creative thinking and problem-solving skills
- Ability to prioritize and address multiple tasks, risk, and deadlines
- Experience coordinating, analyzing and responding to client audits and market conduct inquiries/exams
- Experience in healthcare privacy, compliance, health information management
- Demonstrated knowledge of federal and state healthcare privacy laws and regulations
- Professional compliance designations:
- + AHIP - Long Term Care Professional
- + HIPAA Professional/Certificate HIPAA Privacy Associate (CHPA); or
- + LOMA
- + Healthcare Compliance Accreditations/Certifications
Qualifications
Must Haves
- Bachelor's degree or 5 years of experience working in insurance/healthcare administration or compliance
- 2+ years Long Term Care Insurance, health insurance, life insurance, annuity, Medicare supplement or related experience
- 2+ years of experience writing complaint responses and working with internal business units and regulators to resolve complaints
- Strong research and analytical abilities, including gathering, evaluating, interpreting, and synthesizing information from multiple sources
- Ability to identify, investigate, and resolve privacy incidents and potential HIPAA violations
- Experience drafting correspondence, and other business documents with a high degree of accuracy and attention to detail
- Comprehensive knowledge of English grammar, punctuation, spelling, and business writing standards, with the ability to edit and proofread documents for clarity, consistency, and correctness
- Effective quantitative analytical, creative thinking and problem-solving skills
- Ability to prioritize and address multiple tasks, risk, and deadlines
Nice to Haves
- Experience coordinating, analyzing and responding to client audits and market conduct inquiries/exams
- Experience in healthcare privacy, compliance, health information management
- Demonstrated knowledge of federal and state healthcare privacy laws and regulations
- Professional compliance designations:
- + AHIP - Long Term Care Professional
- + HIPAA Professional/Certificate HIPAA Privacy Associate (CHPA); or
- + LOMA
- + Healthcare Compliance Accreditations/Certifications
