Workers' Compensation Compliance Auditor
California Department of Industrial Relations, Los Angeles, CA, United States
Job Description and Duties
The Workers' Compensation Compliance Officer performs workers' compensation claim file audits on insurance companies, self-insured employers, and third-party administrators to ensure that they have met their obligations under the Labor Code and the California Code of Regulations, under the general direction of a Supervising Workers' Compensation Compliance Officer within the DWC Audit and Enforcement Unit of the Division of Workers' Compensation.
Responsibilities
Conduct field audits of workers' compensation claim files.
Verify compliance with Labor Code and California Code of Regulations.
Prepare audit findings and recommendations.
Coordinate with staff at all levels within and outside of DIR.
Lead and facilitate work groups to accomplish audit goals.
Use Internet, email, desktop applications and presentation software to complete assignments.
Qualifications
At least 3 years of workers' compensation claims adjusting and/or auditing experience.
Background in workers' compensation law or related experience.
Ability to independently make decisions with broad implications.
Strong analytical and problem‑solving skills.
Working Conditions
Field position requiring remote and on‑site duties at audit locations. Travel by air and vehicle with some overnight travel required. Work indoors most of the time. Home office equipped with laptop, printer, and standard office equipment.
Location
DWC Audit Unit, 320 West 4th Street, 9th floor, Los Angeles, CA 90013‑1105.
Equal Opportunity Employer
The State of California is an equal opportunity employer to all, regardless of age, ancestry, color, disability, exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation.
It is an objective of the State of California to achieve a drug‑free workplace. Any applicant for state employment will be expected to behave in accordance with this objective because the use of illegal drugs is inconsistent with the law of the State, the rules governing Civil Service, and the special trust placed in public servants.
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The Workers' Compensation Compliance Officer performs workers' compensation claim file audits on insurance companies, self-insured employers, and third-party administrators to ensure that they have met their obligations under the Labor Code and the California Code of Regulations, under the general direction of a Supervising Workers' Compensation Compliance Officer within the DWC Audit and Enforcement Unit of the Division of Workers' Compensation.
Responsibilities
Conduct field audits of workers' compensation claim files.
Verify compliance with Labor Code and California Code of Regulations.
Prepare audit findings and recommendations.
Coordinate with staff at all levels within and outside of DIR.
Lead and facilitate work groups to accomplish audit goals.
Use Internet, email, desktop applications and presentation software to complete assignments.
Qualifications
At least 3 years of workers' compensation claims adjusting and/or auditing experience.
Background in workers' compensation law or related experience.
Ability to independently make decisions with broad implications.
Strong analytical and problem‑solving skills.
Working Conditions
Field position requiring remote and on‑site duties at audit locations. Travel by air and vehicle with some overnight travel required. Work indoors most of the time. Home office equipped with laptop, printer, and standard office equipment.
Location
DWC Audit Unit, 320 West 4th Street, 9th floor, Los Angeles, CA 90013‑1105.
Equal Opportunity Employer
The State of California is an equal opportunity employer to all, regardless of age, ancestry, color, disability, exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation.
It is an objective of the State of California to achieve a drug‑free workplace. Any applicant for state employment will be expected to behave in accordance with this objective because the use of illegal drugs is inconsistent with the law of the State, the rules governing Civil Service, and the special trust placed in public servants.
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