NV Workers Compensation Claims Compliance Supervisor

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 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: $110000 - $125000 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 616A616D 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

Required Experience:

Manager