Claims Compliance Analyst - Workers

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Claims Compliance Analyst
- Workers' Compensation

Claims Compliance Analyst
- Workers' Compensation
Fully Remote United States BHDIC Claims

Full-time

Description

We are seeking a Claims Compliance Analyst to join our Claims team and oversee regulatory compliance activities across the Workers’ Compensation line of business.

The ideal candidate will have a strong understanding of Workers’ Compensation claim regulations and demonstrate the ability to navigate compliance requirements. This role requires a proactive professional who can manage multiple projects simultaneously, including direct interaction with state regulatory authorities.

• Monitor and enforce compliance with workers' compensation statutes, regulations, and internal procedures.
• Review and analyze claim filings from insurance carriers and self-insured entities to ensure timely and accurate submissions.
• Identify and address discrepancies or non-compliance issues, including initiating corrective actions or fines.
• 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 claims staff related to workers' compensation regulatory changes, emerging trends, identified compliance risks, and internal best practices.
• Coordinate and facilitate state-specific regulatory training initiatives with internal and external stakeholders.
• Review and validate workers' compensation claims systems and workflows to ensure compliance-related data elements, forms, notices, and calculations remain current and aligned with state requirements.

• A strong working knowledge of workers’ compensation is required.
• Bachelor's degree required.
• Ability to assess processes to 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 with the ability to meet tight deadlines.
• Strong analytical, research, organizational, critical thinking, and project management skills and the ability to apply them in a manner that protects the company’s interest while also providing the most amicable solution possible.
• 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 is preferred.

biBerk is where commercial insurance buyers can obtain coverage for their businesses from insurers of the Berkshire Hathaway group of Insurance Companies, one of the best capitalized insurance groups in the world. Our ultimate parent, Berkshire Hathaway Inc. () is a holding company with diversified interests in a host of industries, including insurance, energy, transportation and manufacturing. Most policies issued through  will be underwritten by Berkshire Hathaway Direct Insurance Company ("BHDIC"), which is an AM Best rated A++ insurer.

BHDIC is domiciled in Omaha, Nebraska. BHDIC and the team at biBerk are focused on helping small business owners quickly and easily buy affordable insurance directly from a financially strong insurance company they can trust.

BHDIC is excited to announce our comprehensive benefits package with some new and enhanced features for 2026 that include:

• Medical (PPO/HDHP),…