Compensation Insurance Auditor II – Carrier Practices (Hybrid)

State of Colorado; Denver (CO); Hybrid; USD 39,000 - 55,000; Full time

Benefits offered by this job

PERA Defined Benefit Plan

PERA Defined Contribution Plan

401(k)

457 plan

Medical and dental health plans

Health Savings Account

Paid life insurance

Disability coverage

11 paid holidays

Wellness program

Flexible schedules

Employee affinity spaces

RTD EcoPass

Job summary

The State of Colorado seeks a Carrier Practices Auditor to audit claims handling by insurers and self-insured employers for compliance with the Workers’ Compensation Act and Rules. You will analyze data, issue findings, and recommend follow-up actions, including fines when necessary, while collaborating with insurers and legal teams.

Experience with statutes and case law interpretation plus the ability to manage multiple assignments is preferred. Hybrid work and formal training are provided.

Qualifications

• Five years of relevant experience in an occupation related to workers’ compensation claims.
• Experience handling or reviewing workers’ compensation claims with indemnity calculations and deadlines.
• Alternative: combination of related education and five years’ related experience.

Responsibilities

• Audit insurance carriers’ and self-insured employers’ claims administration for compliance with the Workers’ Compensation Act and Rules.
• Analyze audit results, prepare findings and recommendations, and draft orders for fines when needed.
• Interact with insurers and legal representatives and resolve complaints.

Skills

Workers' compensation experience

Claims auditing

Regulatory knowledge

Job description

The State of Colorado seeks a Carrier Practices Auditor to audit claims handling by insurers and self-insured employers for compliance with the Workers’ Compensation Act and Rules. You will analyze data, issue findings, and recommend follow-up actions, including fines when necessary, while collaborating with insurers and legal teams.

Experience with statutes and case law interpretation plus the ability to manage multiple assignments is preferred. Hybrid work and formal training are provided.