Compliance

• Manage and maintain 50-state claims database
• Monitor legislation, DOI bulletins, court reporters/decisions, and statutory changes; manage backlog and implement targeted compliance training
• Develop and own controls related to Medicare, OFAC, Child Support Lien Network, and other federal protocols
• Partner with Claims Technical, US Legal, and IT to design controls and workflows aligned with regulatory requirements
• Lead US Claims response to regulatory inquiries and complaints
• Deliver training and legal support to internal teams and vendors
• Develop audit programs and dashboards to monitor compliance effectiveness
• Oversee/support technology-related compliance integrations
• Provide executive reporting, trends analysis, and regulatory insights

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