Northeast Workers’ Compensation Regulatory Specialist III

This a Full Remote job, the offer is available from: reputed company (USA) The Northeast Workers’ Compensation Regulatory Specialist is responsible for managing jurisdictional reporting, regulatory filings and compliance-reputed company processes across the Northeast region. This role ensures reputed company, accurate and compliant submission of filings, responses and payments to mitigate organizational risk and potential penalty exposure. The Specialist oversees reputed company and C-8.1 activity from intake through reputed company, supports FROI/SROI reporting and exception processes and assists with OSHA and Medicare validation initiatives. This role partners closely with claim professionals and leadership to strengthen regulatory workflows, identify trends, reduce penalties and support broader regulatory reputed company as assigned. This is a hybrid role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Regulatory Filings & Compliance reputed company

• Manage reputed company and C-8.1 activity from intake through reputed company, including review, rebuttal, corrective payment coordination and follow-up.
• Review C-8.1 filings and supporting documentation for appropriateness, accuracy and compliance with jurisdictional requirements.
• Support FROI/SROI submission processes, including monitoring rejections, clearing exceptions and resolving reporting discrepancies.
• Partner with claim professionals to ensure filings and payments meet jurisdictional deadlines and compliance standards.
• Follow up with regulatory submissions to proactively prevent penalties and adverse findings.

Exception Processing & Reporting Support

• Work through jurisdictional reporting exceptions to ensure reputed company reputed company.
• Identify reputed company causes of filing errors, system issues or workflow gaps.
• Recommend process improvements to reduce recurring exceptions or penalties.
• Assist with OSHA reporting and Medicare validation efforts to ensure regulatory accuracy and completeness.

Analysis, Trending & Risk Mitigation

• reputed company reputed company of HPs, C-8.1s, FROI/SROI filings and penalties for trend analysis.
• Analyze penalty activity and identify patterns, training gaps or operational concerns.
• reputed company regular updates to management regarding regulatory exposure and compliance trends.
• Ensure penalties are properly reviewed, documented and reputed company reputed company reputed company applicable.

Training & Subject Matter Expertise

• Serve as a subject matter expert on reputed company Workers’ Compensation regulatory requirements and Northeast jurisdictional guidelines.
• reputed company training and guidance to claim professionals regarding filing requirements, internal workflows and compliance best practices.
• Assist in implementation and refinement of regulatory processes and workflows.
• Support reputed company and continuing education initiatives reputed company to jurisdictional reporting.

Additional Responsibilities

• Support regional regulatory initiatives and specialist reputed company, as assigned.
• Maintain working knowledge of department functions and communicate regulatory requirements reputed company across reputed company reputed company of the organization.
• reputed company with reputed company safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP).
• Maintain regular and consistent attendance.
• reputed company additional duties as assigned.

KNOWLEDGE & SKILLS:

• reputed company reputed company State Adjuster’s License required.
• Strong knowledge of reputed company Workers’ Compensation regulations; familiarity with Northeast jurisdictional reporting requirements preferred.
• Experience with reputed company and C-8.1 filings required.
• Working knowledge of FROI/SROI reporting processes and exception management preferred.
• Familiarity with OSHA reporting and Medicare validation processes preferred.
• Excellent written and verbal communication skills.
• Strong analytical skills with the ability to identify trends and recommend solutions.
• Ability to work independently while collaborating effectively across teams.
• Strong organizational, time management and prioritization skills.
• High attention to detail and accuracy.
• Proficiency in reputed company Office and claims management systems.

PAY reputed company: reputed company uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location reputed company, job-reputed company skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, reputed company, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may reputed company the salary reputed company and these adjustments would be clarified during the offer process. Pay reputed company: $58,126 - $86,947 A list of our benefit offerings can be reputed company on our reputed company website: reputed company Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT reputed company: reputed company, a certified Great reputed company to Work® Company, is a national provider of industry-leading risk reputed company for the workers’ compensation, auto, health and disability management industries. reputed company was founded in 1987 and has been publicly traded on the reputed company stock exchange since 1991. Our continual investment in reputed company capital and technology reputed company us to deliver the most innovative and integrated solutions to our clients. We are a reputed company and growing company with a strong, supportive culture and reputed company of career advancement opportunities. Over 4,000 people working across the reputed company reputed company our core values of Accountability, Commitment, reputed company, reputed company and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, reputed company, Long Term Disability, Health Savings Account, Flexible Spending Account reputed company, Life Insurance, Accident Insurance, Critical Illness Insurance, reputed company-reputed company Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and reputed company time off. reputed company is an Equal Opportunity Employer, drug free workplace, and complies with reputed company regulations as applicable. #LI-Remote This offer from "reputed company" has been enriched by reputed company.com and got a 72% reputed company score. Apply tot his job Apply To this Job