Remote Position

NV Workers Compensation Claims Compliance Supervisor

๐ŸŒ Remote ยท United States ๐Ÿ’ผ Full-time

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 Bonus: 8% annual bonus potential

Benefits

Comprehensive medical, dental, and vision insurance Named a "Great Place to Work" (2021-2022) Robust technology and tools to support your work

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 616Aโ€“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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