Workers Compensation Claims Analyst

Job Description

Job Description

We are looking for a Workers Compensation Claims Analyst to support workers’ compensation claim review and wage determination activities for an automotive organization in Richmond, Virginia. This Contract position will focus on strengthening claim oversight, promoting regulatory adherence, and helping internal teams make informed decisions on complex case matters. The ideal candidate brings strong analytical judgment, experience working with third-party claim administrators, and the ability to collaborate across legal, human resources, and risk-related functions.

Responsibilities:
• Manage the day-to-day oversight of the workers’ compensation program by evaluating the effectiveness and service quality of third-party claim administrators.
• Examine claim files and related documentation to confirm timely handling, accurate decisions, and appropriate support for injured employees.
• Guide internal stakeholders on workers’ compensation requirements by helping maintain alignment with applicable state and federal regulations as well as company standards.
• Recommend improvements to claim processes, internal guidance, and program practices by applying industry knowledge and identifying opportunities for greater efficiency.
• Supply claim partners with essential case details such as job information, pay records, and personnel data to support accurate claim handling and wage assessments.
• Work closely with internal counsel, external attorneys, and business leaders on litigated matters, settlement evaluations, and overall claim strategy.
• Review proposed resolutions and authorize settlements when appropriate, ensuring decisions are supported by claim facts and business considerations.
• Contribute updates and reporting for related absence and disability programs, including short-term disability, long-term disability, and leave management discussions.
• Coordinate with legal, human resources, and loss prevention teams to address sensitive employment matters, investigations, and escalated claims.
• Identify opportunities for subrogation or lien recovery and provide direct support on high-risk, complex, or exceptional workers’ compensation cases.• Experience handling workers’ compensation claims, including wage determination analysis and claim resolution support.
• Knowledge of state and federal workers’ compensation regulations and the ability to apply compliance standards in daily claim oversight.
• Background working with third-party administrators, insurers, or related claims partners in a review or oversight capacity.
• Strong analytical and documentation skills with the ability to assess claim quality, settlement options, and case strategy.
• Ability to collaborate effectively with legal, human resources, loss prevention, and other cross-functional business teams.
• Proficiency in accounting-related tasks such as account reconciliation, billing support, accounts payable, or accounts receivable is preferred.
• Strong written and verbal communication skills with the ability to present updates, recommendations, and reporting clearly.
• Experience in the automotive industry or a similarly complex multi-site business environment is a plus.