WC Claims Compliance Specialist
- Regional Claims Compliance - Ensuring all Claims processes and systems in Workers Compensation are compliant.
- Complete required regulatory reporting on a regular basis as dictated by each state. Respond to regulatory data reporting requests as appropriate.
- Assist as a resource to coordinate responses to internal and external auditor requests.
- Regulatory Change Management - Review regulatory requirements and distribute to North America Claims as appropriate.
- Participate in developing revisions or creation of policies, procedures and communication to assure awareness and compliance across the 51 jurisdictions in the US. Determine what needs to be incorporated into the Adjuster Toolkit, Functional Rules for Claims Handling, etc. as it pertains to Workers Compensation.
- Lead development of online and in person training materials and tools for Workers Compensation.
- Claims Approach and Compliance - Ensure Workers Compensation claim handling consistency and discipline through close collaboration with Claims Quality Assurance.
- Support Claims Leadership Team through regular reporting of Compliance focus review results.
- Execute on Focus Reviews to monitor and evidence the compliance with Workers Compensation related topics.
- Bachelor's Degree required.
- 5-7 years' experience in Claims Regulatory Compliance.
- 11+years' experience of Workers Comp claims handling within multiple jurisdictions.
Remote, IL, US, 60606
Area of Expertise: Customer Services & Claims Unit: Allianz Commercial Employing Entity: Allianz Global Risks US Insurance Compan Job Type: Full-Time Remote Job: Remote working Employment Type: Permanent ID: 35814Recommended Jobs
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