NV Workers Compensation Claims Compliance Supervisor

The Jonus Group

Las Vegas (NV)

Remote

USD 110,000 - 125,000

Full time

20 hours ago
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Benefits offered by this job

Competitive benefits package
401(k)
Paid time off
Professional development opportunities

Job summary

The Jonus Group is seeking a Workers' Compensation Claims Compliance Supervisor to lead a team of Litigation Specialists in a fully remote role. You will ensure adherence to Nevada regulatory requirements, conduct audits, and develop strategies to maintain compliant claims handling practices across the department.

Responsibilities include coaching staff, coordinating compliance activities, and preparing reports for leadership.

Qualifications

  • 5+ years of Nevada WC/Indemnity claim experience or a JD with 2+ years auditing/compliance.
  • Strong knowledge of Nevada workers' compensation laws, regulations, and claims administration requirements.
  • Proven experience conducting claims file audits and implementing corrective action plans.
  • Ability to translate regulatory requirements into practical claims handling procedures.

Responsibilities

  • Supervise up to three Litigation Specialists and coordinate compliance activities to adhere to Nevada workers' compensation regulations.
  • Conduct claims file audits and quality assurance reviews to evaluate accuracy and timeliness.
  • Monitor compliance with Nevada workers' compensation statutes, including NRS Chapters 616A-616D and 617.
  • Identify trends, investigate compliance deficiencies, and develop corrective action plans.
  • Provide guidance, training, and support regarding regulatory changes and compliance standards.
  • Coordinate responses to regulatory audits, inquiries, complaints, and documentation requests.
  • Partner with claims leadership to develop and maintain compliance policies, procedures, and internal controls.
  • Track compliance metrics, audit findings, and corrective action plans; prepare management reports.
  • Monitor regulatory updates and communicate changes affecting claims handling procedures.
  • Collaborate with internal stakeholders to improve workflows and reduce compliance risks.

Skills

Auditing
Regulatory interpretation
Claims handling
Analytical thinking
Communication skills

Education

Juris Doctorate (JD)

Tools

Claims management systems
Microsoft Office

Job description

Job Description
Workers' Compensation Claims Compliance Supervisor
Job Summary

Seeking a highly skilled and experienced Workers' Compensation Claims Compliance Supervisor to join a team. This is a fully remote position. In this role, ensuring adherence to state-specific regulatory requirements. You will supervise a team of Litigation Specialists, conduct audits, and develop strategies to maintain compliance while supporting the overall success of the claims department.

Compensation Package
  • Salary: $110,000 - $125,000 per year (depending on experience) + bonus opportunities
  • Competitive benefits package, 401(k), paid time off, professional development opportunities, etc.
Responsibilities
  • Supervise up to three Litigation Specialists and coordinate compliance activities to ensure adherence to Nevada workers' compensation regulations.
  • Conduct claims file audits and quality assurance reviews to evaluate accuracy, timeliness, and compliance with established guidelines.
  • Monitor compliance with Nevada workers' compensation statutes, including NRS Chapters 616A-616D and 617.
  • Identify trends, investigate compliance deficiencies, and develop corrective action plans to address recurring issues.
  • Provide guidance, training, and support to claims adjusters and team members regarding regulatory changes and compliance standards.
  • Coordinate responses to regulatory audits, inquiries, complaints, and requests for claim documentation.
  • Partner with claims leadership to develop and maintain compliance policies, procedures, and internal controls.
  • Track compliance metrics, audit findings, and corrective action plans, preparing reports for management as needed.
  • Monitor regulatory updates and communicate changes that may affect claims handling procedures.
  • Collaborate with internal stakeholders to improve workflows, reduce compliance risks, and promote consistent claims handling practices.
Qualifications/Requirements
  • Minimum of 5+ years of experience handling Nevada Workers' Compensation/Indemnity claims OR a Juris Doctorate with 2+ years of workers' compensation auditing/compliance experience.
  • Strong knowledge of Nevada workers' compensation laws, regulations, and claims administration requirements.
  • Proven experience conducting claims file audits, identifying compliance deficiencies, and implementing corrective action plans.
  • In-depth understanding of workers' compensation benefits, claim handling procedures, required reporting, and regulatory timeframes.
  • Excellent analytical, organizational, communication, and problem-solving skills.
  • Ability to interpret regulatory requirements and translate them into practical claims handling procedures.
  • Proficiency with claims management systems, audit tools, and Microsoft Office applications.
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