Workers' Compensation Claims Compliance Supervisor
Job Description
Job Title: 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, you will ensure 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. - #LI-MW1