Job Description
We are seeking a Claims Compliance Analyst to join our Claims team and oversee regulatory compliance activities across the Workers’ Compensation line of business. The ideal candidate will have a strong understanding of Workers’ Compensation claim regulations and demonstrate the ability to navigate compliance requirements. This role requires a proactive professional who can manage multiple projects simultaneously, including direct interaction with state regulatory authorities. Job 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. Qualifications A strong working knowledge of workers’ compensation is required. Bachelor's degree required. 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. 4+ years of commercial insurance claims experience, with a strong background in workers compensation.
