Claims Compliance Analyst – Workers' Compensation

🕒 vor 5 Tagen

🇺🇸 Vereinigte Staaten – Remote

💵 $77.000 - $96.500 / Jahr

⏰ Vollzeit

🟡 Mittelstufe

🟠 Senior

🚔 Compliance

👻 Geisterscore 0%

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🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of biBerk Business Insurance

biBerk Business Insurance

51 - 200 Mitarbeiter

🛡️ Versicherung

🤝 B2B

💸 Finanzen

Insurance • B2B • Finance

biBerk Business Insurance ist ein digitaler Erstversicherer, der sich auf Versicherungen für kleine Unternehmen spezialisiert hat und Policen wie Arbeitsunfallversicherung, Berufshaftpflicht (E&O), allgemeine Haftpflicht, Betriebshaftpflichtversicherungen (BOP), gewerbliche Kfz-Versicherung, Deckungsüberschuss und Cyber-Versicherung anbietet. Als Teil der Berkshire Hathaway Insurance Group und unterstützt von A++ bewerteten Versicherern ermöglicht biBerk kleinen Unternehmen, Online-Angebote zu erhalten, Policen zu erwerben, Schadens- und Dokumentenmanagement zu betreiben und auf Ressourcen zuzugreifen, um Versicherungen zu vereinfachen. Das Unternehmen bedient eine Vielzahl von kleinen Geschäftsbranchen (z. B. Restaurants, Einzelhandel, Auftragnehmer, IT, Gesundheitswesen) und legt Wert auf sofortigen Versicherungsschutz, Kosteneinsparungen und Direktversicherung.

Beschreibung

• Monitor and enforce compliance with workers' compensation statutes, regulations, and internal procedures • Review and analyze claim filings from insurance carriers and self-insured entities for timely and accurate submissions • Identify and address discrepancies or non-compliance issues, including initiating corrective actions or fines • Collaborate with IT or vendor teams on system enhancements related to compliance tracking • Provide input on system requirements for workers' compensation claims handling platforms • Support audit and compliance education initiatives • Stay current with changes in workers’ compensation laws and regulations • Develop and deliver claims compliance training and educational materials for claims staff • Coordinate and facilitate state-specific regulatory training with internal and external stakeholders • Review and validate workers' compensation claims systems and workflows for current, compliant data elements, forms, notices, and calculations

🎯 Anforderungen

• Strong working knowledge of workers’ compensation • Bachelor's degree required • Ability to assess processes, 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 and meet tight deadlines • Strong analytical, research, organizational, critical thinking, and project management skills • Strong communication and documentation skills • 4+ years of commercial insurance claims experience, with a strong background in workers compensation • Auditing, regulatory compliance, or compliance monitoring experience within workers' compensation or the insurance industry preferred

🏖️ Vorteile

• 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 offering 100% upfront tuition reimbursement after 6 months of service for approved degree programs • Service Recognition Program providing a monetary award toward a vacation every 5 years of employment • Wellness Initiatives including Fitness Center and Weight Watchers Reimbursement programs • Voluntary accident, critical illness, and hospital indemnity benefits • Employee discount and rewards program on travel, tickets, electronics, home, and more

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