Claims Audit Specialist for Workers' Comp

Government of the Virgin Islands; Charlotte Amalie (United States Virgin Islands); On-site; USD 42,000 - 65,000; Full time

Job summary

Government of the Virgin Islands seeks a detail-oriented auditor for the Workers' Compensation program. The role reviews vouchers for payment to claimants and providers, checks medical ceilings, and supports lien and settlement calculations.

Qualifications include a degree with accounting credits or an equivalent Associates degree with experience in labor relations or workers' compensation."

Qualifications

• Knowledge of basic accounting principles and medical terminology.
• Familiarity with Virgin Islands Workers' Compensation Act provisions.
• Ability to calculate payments accurately and verify claims data.
• Competence in preparing statistical reports and using a computer for data work.

Responsibilities

• Audit all orders and vouchers for payment to claimants, providers, and institutions.
• Verify amounts and payees; ensure compliance with on-island/off-island medical ceilings.
• Prepare statistical reports on funds expended and case totals for the program.
• Maintain records and provide lien information for third-party settlements.

Skills

Basic accounting

Medical terminology

Payments calculation

Data/claims analysis

Computer/word processor

Education

Bachelor's degree with 6 accounting credits

Associates degree with 6 accounting credits + 2 years related experience

Tools

Word processor

Job description

Government of the Virgin Islands seeks a detail-oriented auditor for the Workers' Compensation program. The role reviews vouchers for payment to claimants and providers, checks medical ceilings, and supports lien and settlement calculations.

Qualifications include a degree with accounting credits or an equivalent Associates degree with experience in labor relations or workers' compensation."