Role Title: Claims Compliance Analyst – Workers Compensation
Skills and Experience
* Strong working knowledge of Workers Compensation claims regulations
* 4 or more years of commercial insurance claims experience with a focus on Workers Compensation
* Bachelor’s degree
* Ability to assess processes, identify risk areas, and implement effective resolution strategies
* Strong analytical, research, organizational, critical thinking, and project management skills
* Ability to meet tight deadlines and manage multiple priorities
* Strong communication and documentation skills
* Ability to work independently and collaboratively
* Experience interacting with state regulatory authorities and staff at various levels
Job Summary / Introduction
We are seeking a Claims Compliance Analyst to support regulatory compliance activities within 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 complex compliance requirements. This role requires a proactive professional capable of managing multiple projects, maintaining accurate documentation, and engaging directly with state regulatory bodies as needed.
Detailed Job Description
The Claims Compliance Analyst will be responsible for monitoring and enforcing adherence to Workers Compensation statutes, regulations, and internal procedures. This includes reviewing and analyzing claim filings to ensure timely and accurate submissions, identifying discrepancies or non-compliance issues, and initiating corrective action when necessary.
This role will also collaborate with internal technology teams or external vendors to support system enhancements related to compliance tracking. The analyst will provide input on system requirements for claims handling platforms and contribute to audit and compliance education initiatives.
Maintaining current knowledge of regulatory changes is essential, as is the ability to communicate effectively with internal stakeholders and external authorities. The position requires strong analytical capabilities, sound judgment, and the ability to balance regulatory obligations with operational needs.
If interested, please apply to this job advert or reach out to [email protected]
