Claims Compliance Analyst II

Company Overview:

Recognized as a Milwaukee Journal Sentinel Top Workplace for 14 consecutive years, including three years of being honored as number one! Join us at West Bend, where we believe that our associates are our greatest asset. We hire talented individuals who are conscientious, dedicated, customer focused, and able to build lasting relationships. We create and maintain an environment where you feel a sense of belonging and appreciation. Your diversity of thought, experience, and knowledge are valued. We're committed to fostering a welcoming culture, offering you opportunities for meaningful work and professional growth. More than a workplace, we celebrate our successes and take pride in serving our communities.

Job Summary:

Supports multi-state claims compliance by ensuring accurate, timely regulatory reporting, advising claims teams on requirements, and helping maintain adherence to state and federal guidelines.

Work Location:

This position offers a hybrid work schedule. Candidates who are located within 50 miles of a West Bend office location will work a hybrid schedule for collaboration days, team meetings or other in-person events. The position can be based in West Bend, Madison or Appleton.

Responsibilities & Qualifications:

Compliance Analyst

• Claims Reporting Are you detail‑driven, independent, and comfortable working across complex regulatory requirements?

We're looking for a Compliance Analyst II to support claims reporting and compliance activities across multiple states and jurisdictions. In this role, you'll ensure accurate and timely reporting, serve as a subject‑matter resource for claims staff, and help keep the organization in compliance with state and federal requirements. What You'll Do You'll independently manage claims reporting responsibilities across all assigned states and jurisdictions, ensuring required data is reported accurately and on time. This includes reviewing policy and claims documentation, entering claim and payment data into reporting systems, and maintaining diaries to support timely filings and follow‑up activities. You'll review state reports for accuracy and compliance, correct errors promptly, and help resolve any inquiries, fines, or penalties that may arise. You'll also serve as a point of contact for EDI‑related issues, provide technical guidance to claims representatives, and stay current on regulatory and industry changes through ongoing learning. As a designated lead, you'll assist with job overviews and training, analyze current workflows, and recommend process improvements to increase efficiency and effectiveness. Throughout your work, you'll consistently demonstrate strong customer service and adherence to audit guidelines. What We're Looking For At least 2 years of experience adjusting claims or in claims support Working knowledge of Medicare compliance and/or workers' compensation state reporting 3 years of data entry experience Working knowledge of medical, legal, and insurance terminology Strong attention to detail with solid analytical and organizational skills Ability to work independently, manage priorities, and solve problems Clear written and verbal communication skills, along with basic math skills Interpersonal skills, including the ability to provide training or guidance to others Basic proficiency in Microsoft Word and Excel Preferred Education and Credentials Bachelor's degree in Business, Insurance, or related field (or equivalent industry experience) Associate in General Insurance (AINS) designation Associate in Claims (AIC) designation #

LI-BW1 INDSP

Salary Statement:

The salary range for this position is $50,000

• 62,000.

The actual base pay offered to the successful candidate will be based on multiple factors, including but not limited to job-related knowledge/skills, experience, business needs, geographical location, and internal equity. Compensation decisions are made by West Bend and are dependent upon the facts and circumstances of each position and candidate.

Benefits:

West Bend offers a comprehensive benefit plan including but not limited to : Medical & Prescription Insurance Health Savings Account Dental Insurance Vision Insurance Short and Long Term Disability Flexible Spending Accounts Life and Accidental Death & Disability Accident and Critical Illness Insurance Employee Assistance Program 401(k) Plan with Company Match Pet Insurance Paid Time Off. Standard first year PTO is 17 days, pro-rated based on month of hire. Enhanced PTO may be available for experienced candidates Bonus eligible based on performance West Bend will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act for Colorado employees, in accordance with its plans and policies.

EEO:

West Bend provides equal employment opportunities to all associates and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, and promotion. Claims Compliance Analyst

II 3.8 3.8

out of 5 stars West Bend, WI Hybrid work $49,510

• $62,000 a year
• Full-time West Bend Insurance Company 46 reviews $49,510
• $62,000 a year

•

Full-time Company Overview:

Recognized as a Milwaukee Journal Sentinel Top Workplace for 14 consecutive years, including three years of being honored as number one! Join us at West Bend, where we believe that our associates are our greatest asset. We hire talented individuals who are conscientious, dedicated, customer focused, and able to build lasting relationships. We create and maintain an environment where you feel a sense of belonging and appreciation. Your diversity of thought, experience, and knowledge are valued. We're committed to fostering a welcoming culture, offering you opportunities for meaningful work and professional growth. More than a workplace, we celebrate our successes and take pride in serving our communities.

Job Summary:

Supports multi-state claims compliance by ensuring accurate, timely regulatory reporting, advising claims teams on requirements, and helping maintain adherence to state and federal guidelines.

Work Location:

This position offers a hybrid work schedule. Candidates who are located within 50 miles of a West Bend office location will work a hybrid schedule for collaboration days, team meetings or other in-person events. The position can be based in West Bend, Madison or Appleton.

Responsibilities & Qualifications:

Compliance Analyst

• Claims Reporting Are you detail‑driven, independent, and comfortable working across complex regulatory requirements?

We're looking for a Compliance Analyst II to support claims reporting and compliance activities across multiple states and jurisdictions. In this role, you'll ensure accurate and timely reporting, serve as a subject‑matter resource for claims staff, and help keep the organization in compliance with state and federal requirements. What You'll Do You'll independently manage claims reporting responsibilities across all assigned states and jurisdictions, ensuring required data is reported accurately and on time. This includes reviewing policy and claims documentation, entering claim and payment data into reporting systems, and maintaining diaries to support timely filings and follow‑up activities. You'll review state reports for accuracy and compliance, correct errors promptly, and help resolve any inquiries, fines, or penalties that may arise. You'll also serve as a point of contact for EDI‑related issues, provide technical guidance to claims representatives, and stay current on regulatory and industry changes through ongoing learning. As a designated lead, you'll assist with job overviews and training, analyze current workflows, and recommend process improvements to increase efficiency and effectiveness. Throughout your work, you'll consistently demonstrate strong customer service and adherence to audit guidelines. What We're Looking For At least 2 years of experience adjusting claims or in claims support Working knowledge of Medicare compliance and/or workers' compensation state reporting 3 years of data entry experience Working knowledge of medical, legal, and insurance terminology Strong attention to detail with solid analytical and organizational skills Ability to work independently, manage priorities, and solve problems Clear written and verbal communication skills, along with basic math skills Interpersonal skills, including the ability to provide training or guidance to others Basic proficiency in Microsoft Word and Excel Preferred Education and Credentials Bachelor's degree in Business, Insurance, or related field (or equivalent industry experience) Associate in General Insurance (AINS) designation Associate in Claims (AIC) designation #

LI-BW1 INDSP

Salary Statement:

The salary range for this position is $50,000

• 62,000.

The actual base pay offered to the successful candidate will be based on multiple factors, including but not limited to job-related knowledge/skills, experience, business needs, geographical location, and internal equity. Compensation decisions are made by West Bend and are dependent upon the facts and circumstances of each position and candidate.

Benefits:

West Bend offers a comprehensive benefit plan including but not limited to : Medical & Prescription Insurance Health Savings Account Dental Insurance Vision Insurance Short and Long Term Disability Flexible Spending Accounts Life and Accidental Death & Disability Accident and Critical Illness Insurance Employee Assistance Program 401(k) Plan with Company Match Pet Insurance Paid Time Off. Standard first year PTO is 17 days, pro-rated based on month of hire. Enhanced PTO may be available for experienced candidates Bonus eligible based on performance West Bend will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act for Colorado employees, in accordance with its plans and policies.

EEO:

West Bend provides equal employment opportunities to all associates and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, and promotion.