State of Louisiana - Baton Rouge, LA

posted about 2 months ago

Full-time - Entry Level
Baton Rouge, LA
Executive, Legislative, and Other General Government Support

About the position

The Workers' Compensation Compliance Analyst 1/2 position at the Louisiana Department of State Civil Service is a critical role within the Office of Workers' Compensation, specifically in the Records Management Division. This position is designed for individuals who are eager to engage in the regulatory and compliance aspects of workers' compensation claims. The selected candidate will be responsible for monitoring the compliance of the claim filing process as mandated by the Office of Workers' Compensation Administration (OWCA) and ensuring that all claims filed by workers' compensation insurance carriers or self-insured funds adhere to the established statutes and regulations. As a Workers' Compensation Compliance Analyst, the individual will perform entry-level tasks under close supervision, which includes reviewing and analyzing workers' compensation claim forms, assessing discrepancies in submitted claims, and providing technical assistance to various stakeholders, including employers, insurance carriers, and employees. The role requires a keen eye for detail and the ability to make accurate judgments based on relevant information. The analyst will also be involved in collecting, compiling, and sorting statewide workers' compensation claim forms, both in hard copy and electronic formats, and will be responsible for initiating and monitoring collection activities for delinquent claims. The position offers a unique opportunity for career progression within the job series, as it may be filled as either a Workers' Compensation Compliance Analyst 1 or 2, depending on the qualifications of the selected candidate. The starting salary is competitive and will be determined based on the education and experience of the applicant. The ideal candidate will possess competencies in ethics and integrity, accurate judgment-making, and resource management, which are essential for ensuring the effective operation of the workers' compensation system in Louisiana.

Responsibilities

  • Monitor the workers' compensation claim filing process for compliance with regulations and OWCA procedures.
  • Provide and maintain confidential document-related services.
  • Review computer reports to discover delinquent claims and initiate collection activities.
  • Collect, compile, edit, and sort statewide workers' compensation claim forms in hard copy and electronic form.
  • Analyze workers' compensation claim forms to determine proper NAICS codes.
  • Assess discrepancies in insurance company submitted claims and review calculations of benefit payments.
  • Make adjustments to correct workers' compensation benefit payments as necessary.
  • Confer and correspond with individuals submitting non-compliant documents and advise on necessary adjustments for approval.
  • Provide consultation to information system teams for system requirements and enhancements.
  • Offer technical assistance and training to employers, insurance carriers, attorneys, and employees regarding court claim forms.

Requirements

  • A baccalaureate degree from an accredited college or university.
  • Six years of full-time work experience in any field may substitute for the required degree.
  • Candidates without a degree may combine work experience and college credit to substitute for the degree, with specific hour-to-experience ratios.

Nice-to-haves

  • Experience with handling claims files.
  • Experience with statistical reports.

Benefits

  • Insurance coverage options including health, dental, and vision insurance.
  • Paid parental leave of up to six weeks.
  • Paid holidays including New Year's Day, Martin Luther King Jr. Day, Mardi Gras, Good Friday, Memorial Day, Independence Day, Labor Day, Veteran's Day, Thanksgiving Day, and Christmas Day.
  • Accrual of sick and annual leave that can be accumulated for future use.
  • Eligibility to participate in various retirement systems.
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