Remote Workers' Comp Claims Compliance Specialist

Berkshire-Hathaway-Direct-Insurance-Company; Omaha (NE); Remote; USD 77,000 - 97,000; Full time

Benefits offered by this job

Medical insurance

401(k) with company match

Paid holidays and PTO

Education Assistance Program

Job summary

Berkshire Hathaway Direct Insurance Company (BHDIC) seeks a Claims Compliance Analyst to oversee regulatory compliance for the Workers’ Compensation line. The role requires proactive management of statutes, regulations, and internal procedures across multiple projects, including engagement with state authorities.

The successful candidate will analyze filings, identify gaps, and collaborate with IT and claims teams to implement compliant processes.

Qualifications

• Bachelor’s degree required.
• Strong working knowledge of workers’ compensation.
• Ability to assess processes to identify key risk areas and implement resolutions.
• Ability to interact with multiple levels of staff and state regulatory authorities.
• Ability to work independently and with others.
• Must manage 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 background in workers’ compensation.
• Auditing, regulatory compliance, or compliance monitoring experience is preferred.

Responsibilities

• Monitor and enforce compliance with workers' compensation statutes, regulations, and internal procedures.
• Review and analyze claim filings to ensure timely and accurate submissions.
• Identify and address discrepancies or non-compliance issues; initiate corrective actions.
• 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 staff.
• Coordinate and facilitate state-specific regulatory training initiatives.
• Review and validate claims systems and workflows for compliance-related data elements, forms, notices, and calculations.

Skills

Workers’ compensation

Regulatory compliance

Project management

Communication

Documentation

Regulatory authorities interaction

Education

Bachelor's degree

Job description

Berkshire Hathaway Direct Insurance Company (BHDIC) seeks a Claims Compliance Analyst to oversee regulatory compliance for the Workers’ Compensation line. The role requires proactive management of statutes, regulations, and internal procedures across multiple projects, including engagement with state authorities.

The successful candidate will analyze filings, identify gaps, and collaborate with IT and claims teams to implement compliant processes.