Claims Compliance Analyst – Workers' Compensation

🔥 7 minutes ago

🇺🇸 United States – Remote

💵 $77k - $96.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🚔 Compliance

👻 Ghost score 0%

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biBerk Business Insurance

WebsiteLinkedInAll Job Openings

51 - 200 employees

🛡️ Insurance

🤝 B2B

💸 Finance

Insurance • B2B • Finance

biBerk Business Insurance is a digital-first insurance provider focused on small business insurance, offering policies such as workers' compensation, professional liability (E&O), general liability, business owners policies (BOP), commercial auto, umbrella, and cyber coverage. Part of the Berkshire Hathaway Insurance Group and backed by A++ rated carriers, biBerk lets small businesses get online quotes, purchase policies, manage claims and documents, and access resources to simplify insurance. The company serves a wide range of small business industries (e. g. , restaurants, retail, contractors, IT, healthcare) and emphasizes instant coverage, cost savings, and direct-to-business underwriting.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ 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 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