Claims Compliance Analyst – Workers' Compensation

. Monitor and enforce compliance with workers' compensation statutes, regulations, and internal procedures .

Posted 9/25/2026full-timeRemote • United StatesMid-LevelSenior💰 $77,000 - $96,500 per yearWebsite

Key responsibilities & impact

Monitor and enforce compliance with workers' compensation statutes, regulations, and internal procedures
Review and analyze claim filings from insurance carriers and self-insured entities for timely and accurate submissions
Identify and address discrepancies or non-compliance issues, including initiating corrective actions or fines
Collaborate with IT or vendor teams on system enhancements related to compliance tracking
Provide input on system requirements for workers' compensation claims handling platforms
Support 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 claims staff
Coordinate and facilitate state-specific regulatory training with internal and external stakeholders
Review and validate workers' compensation claims systems and workflows for current, compliant data elements, forms, notices, and calculations

What you’ll need

Strong working knowledge of workers’ compensation
Bachelor's degree required
Ability to assess processes, identify key areas of risk, and implement resolution strategies in line with best practice
Ability to interact with multiple levels of staff and state regulatory authorities
Ability to work independently and in conjunction with others
Flexibility to work on 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 strong background in workers compensation
Auditing, regulatory compliance, or compliance monitoring experience within workers' compensation or the insurance industry preferred

Comp & perks

Medical (PPO/HDHP), vision, disability, and life insurance
Enhanced dental plan with orthodontia coverage in addition to a standard plan
Generous PTO plan for all benefit-time eligible employees
Paid company holidays and 4 floating holidays
Paid parental leave
Employee Retirement Savings Plan/401(k) with company match and immediate vesting
Education Assistance Program offering 100% upfront tuition reimbursement after 6 months of service for approved degree programs
Service Recognition Program providing a monetary award toward a vacation every 5 years of employment
Wellness Initiatives including Fitness Center and Weight Watchers Reimbursement programs
Voluntary accident, critical illness, and hospital indemnity benefits
Employee discount and rewards program on travel, tickets, electronics, home, and more