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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