Claims Compliance Analyst - Workers' Compensation

Paylocity; Northern (KY); Hybrid; USD 77,000 - 97,000; Full time

Benefits offered by this job

Medical, vision, disability, and life

401(k) with company match

Paid time off and holidays

Parental leave

Job summary

biBerk is seeking a Claims Compliance Analyst to join our Claims team and oversee regulatory compliance for the Workers’ Compensation line. This fully remote role interacts with state authorities and cross-functional teams to ensure timely, accurate filings and adherence to evolving laws.

You will monitor regulations, review filings, address discrepancies, and help design training and system improvements. A strong knowledge of workers' compensation and 4+ years of commercial claims experience

Qualifications

• Strong working knowledge of workers’ compensation regulations and compliance.
• Experience auditing and monitoring regulatory compliance in insurance.
• Excellent communication and documentation skills.
• Ability to manage multiple projects and interact with state authorities.
• Proactive, analytical, and detail-oriented.

Responsibilities

• Monitor and enforce compliance with workers' compensation statutes and internal procedures.
• Review claim filings for timeliness and accuracy across carriers and self-insureds.
• Identify and address discrepancies or non-compliance issues and initiate corrective actions.
• Collaborate with IT/vendor teams to support compliance system enhancements.
• Provide input on system requirements for workers' compensation claims handling platforms.
• Assist in audits and compliance education initiatives.
• Stay updated with changes in workers’ compensation laws and regulations.
• Develop and deliver training materials on regulatory changes to staff.
• Coordinate state-specific regulatory training with stakeholders.
• Review compliance data elements, forms, notices, and calculations for accuracy.

Skills

Workers' compensation knowledge

Regulatory compliance

Auditing

Project management

Communication skills

Education

Bachelor's degree

Job description

All Jobs > Claims Compliance Analyst - Workers' Compensation

Claims Compliance Analyst - Workers' Compensation
Fully Remote • United States • BHDIC Claims

Full-time

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.
• Develop and deliver claims compliance training and educational materials for claims staff related to workers' compensation regulatory changes, emerging trends, identified compliance risks, and internal best practices.
• Coordinate and facilitate state-specific regulatory training initiatives with internal and external stakeholders.
• Review and validate workers' compensation claims systems and workflows to ensure compliance-related data elements, forms, notices, and calculations remain current and aligned with state requirements.

Requirements

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.
• Auditing, regulatory compliance, or compliance monitoring experience within workers' compensation or the insurance industry is preferred.

About Us

biBerk is where commercial insurance buyers can obtain coverage for their businesses from insurers of the Berkshire Hathaway group of Insurance Companies, one of the best capitalized insurance groups in the world. Our ultimate parent, Berkshire Hathaway Inc. (berkshirehathaway.com) is a holding company with diversified interests in a host of industries, including insurance, energy, transportation and manufacturing. Most policies issued through biBerk.com will be underwritten by Berkshire Hathaway Direct Insurance Company ("BHDIC"), which is an AM Best rated A++ insurer.

BHDIC is domiciled in Omaha, Nebraska. BHDIC and the team at biBerk are focused on helping small business owners quickly and easily buy affordable insurance directly from a financially strong insurance company they can trust.

BHDIC is excited to announce our comprehensive benefits package with some new and enhanced features for 2026 that include:

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

In accordance with pay transparency laws and regulations, the following good faith compensation range estimate is being provided. The starting salary range for this position is $77,000 to $96,500 per year. Final compensation will be based on candidate qualifications, geographic location, and other considerations permitted by law.