Claims TPA Governance Analyst
AIG
full-time
Posted on:
Location Type: Hybrid
Location: Atlanta • Kansas • United States
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About the role
- Monitor changes in state, federal, and market conduct regulatory requirements impacting claims handling and TPA activities
- Ensure TPA partners maintain compliance with claims regulations, including timeliness standards, documentation rules, licensing requirements, privacy laws, and unfair claims practices statutes
- Identify compliance risks and support corrective action plans with internal stakeholders and TPA leadership
- Prepare and support responses to Department of Insurance (DOI) inquiries, data calls, market conduct exams, and regulatory filings related to TPA-handled claims
- Serve as a liaison between Claims, Compliance, Legal, and external TPA partners
- Support the response to and compliance with state regulatory audits and fines
Requirements
- Bachelor’s degree in business or related field and/or equivalent combination of experience; insurance or financial services industry preferred
- Minimum 5 years prior experience working with TPAs in the NAM regulatory space
- Knowledge of regulatory best practices and state, province, and carrier requirements
- Understanding of quality controls and risk management disciplines is a strong asset
- Proficiency in MS Excel (advanced formulas, pivot tables), MS Word, PowerPoint, and MS Outlook
- Excellent communication skills (verbal, written, presentation)
- Ability to influence and resolve complex regulatory issues
- Strong organizational and customer service skills
- Ability to prioritize multiple tasks and meet strict deadlines
Benefits
- Comprehensive benefits package focused on health, wellbeing, and financial security
- Professional development opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
regulatory complianceclaims handlingrisk managementquality controlsdata analysisdocumentation rulestimeliness standardsprivacy lawsunfair claims practicescorrective action plans
Soft Skills
communication skillsorganizational skillscustomer service skillsinfluencing skillsproblem-solving skillspresentation skillsability to prioritizeability to meet deadlines