WORKERS COMPENSATION COMPLIANCE ANALYST 1/2

$31,224 - $56,184/Yr

State of Louisiana - Baton Rouge, LA

Full-time - Entry Level

Baton Rouge, LA

Executive, Legislative, and Other General Government Support

About the position

The Workers' Compensation Compliance Analyst position is a critical role within the Office of Workers' Compensation, specifically in the Records Management Division. This position is responsible for ensuring compliance with the statutes governing the workers' compensation claim filing process, which is essential for maintaining the integrity of the system. The analyst will monitor the filing process for compliance with regulations, procedures, and applicable laws, providing a vital service to both the state and its citizens. The role may be filled at either the Analyst 1 or Analyst 2 level, depending on the qualifications of the selected candidate, and offers a pathway for career progression within the job series. As a Workers' Compensation Compliance Analyst, the individual will be tasked with a variety of responsibilities that include monitoring the workers' compensation claim filing process, maintaining confidential document-related services, and reviewing computer reports to identify delinquent claims. The analyst will also collect, compile, edit, and sort statewide workers' compensation claim forms, both in hard copy and electronic formats, ensuring that all submissions are accurate and compliant with established standards. In addition to monitoring and reviewing claims, the analyst will analyze claim forms to determine the appropriate North American Industry Classification System (NAICS) code and assess discrepancies in submitted claims. This includes reviewing calculations of benefit payments and making necessary adjustments to ensure accuracy. The role requires effective communication skills, as the analyst will confer with individuals submitting non-compliant documents and provide guidance on necessary adjustments for approval. Furthermore, the analyst will collaborate with information system teams to develop system requirements and enhancements, and provide technical assistance and training to various stakeholders, including employers, insurance carriers, attorneys, and employees regarding court claim forms.

Responsibilities

• Monitor the workers' compensation claim filing process for compliance with regulations, OWCA procedures, and applicable laws.
• Provide and maintain confidential document-related services.
• Review computer reports to discover delinquent claims and initiate and monitor collection activities.
• Collect, compile, edit, and sort statewide workers' compensation claim forms daily in hard copy and electronic form reported by insurers and self-insurers.
• Analyze workers' compensation claim forms to make determinations of proper North American Industry Classification System code (NAICS).
• Assess documented discrepancies in insurance company submitted claims and review calculations of workers' compensation benefit payments.
• Perform verification functions and make adjustments to correct workers' compensation benefit payments.
• Confer and correspond with individuals who submit documents that are not in compliance with statutes and advise on specific adjustments needed for approval.
• Provide consultation to information system teams to develop system requirements and enhancements.
• Provide technical assistance and training to employers, insurance carriers, attorneys, and employees concerning basic and complex court claim forms.

Requirements

• A baccalaureate degree.
• Six years of full-time work experience in any field may be substituted for the required baccalaureate degree.
• Candidates without a baccalaureate degree may combine work experience and college credit to substitute for the baccalaureate degree.

Nice-to-haves

• Experience in workers' compensation or insurance compliance.
• Strong analytical skills to assess discrepancies in claims.
• Excellent communication skills for training and consultation.

Benefits

• Health insurance coverage.
• Paid holidays and vacation time.
• Retirement savings plan options.