Claims Compliance Analyst – Workers' Compensation
Employment Information
Job Description
Claims Compliance Analyst overseeing regulatory compliance activities in Workers’ Compensation. Analyzing claims and collaborating with state authorities to ensure compliance.
Responsibilities:
- Monitor and enforce compliance with workers' compensation statutes, regulations, and internal procedures.
- Review and analyze claim filings from insurance carriers and self-insured entities to ensure timely and accurate submissions.
- Identify and address discrepancies or non-compliance issues, including initiating corrective actions or fines.
- Collaborate with IT or vendor teams to support system enhancements related to compliance tracking.
- Provide input on system requirements for workers' compensation claims handling platforms.
- Support in audit, and compliance education initiatives.
- Stay current with changes in workers’ compensation laws and regulations.
Requirements:
- A strong working knowledge of workers’ compensation is required.
- Bachelor's degree required.
- 4+ years of commercial insurance claims experience, with a strong background in workers compensation.
- Ability to assess processes to identify key areas of risk and implement resolution strategies in line with best practice.
- Ability to interact with multiple levels of staff and state regulatory authorities.
- Ability to work independently and in conjunction with others.
- Flexibility to work on multiple projects with the ability to meet tight deadlines.
- Strong analytical, research, organizational, critical thinking, and project management skills and the ability to apply them in a manner that protects the company’s interest while also providing the most amicable solution possible.
- Strong communication and documentation skills.
Benefits:
- Medical (PPO/HDHP), vision, disability, and life insurance.
- Enhanced dental plan with orthodontia coverage in addition to a standard plan.
- Generous PTO plan for all benefit-time eligible employees.
- Paid company holidays and 4 floating holidays.
- Paid parental leave.
- Employee Retirement Savings Plan/401(k) with company match and immediate vesting.
- Education Assistance Program that offers 100% upfront tuition reimbursement after 6 months of service for approved degree programs.
- Service Recognition Program that provides a monetary award to be used toward a vacation every 5 years of employment.
- Wellness Initiatives that include Fitness Center and Weight Watchers Reimbursement programs.
- Voluntary benefits that include accident, critical illness, and hospital indemnity.
- Employee discount and rewards program on travel, tickets, electronics, home, and more.
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