{"id":3059083,"url":"https://alion.io/job/harris-senior-workers-compensation-analyst-remote","title":"Senior Workers' Compensation Analyst Remote","company":{"id":4012751,"name":"Harris","domain":"harris.io","url":"https://alion.io/company/harris-io","size_band":null,"is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":null,"truth_index":null},"role":"HR","role_family":"HR","seniority":"senior","employment_type":"full_time","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"inferred_payroll_markers","remote_working_hours":null,"hiring_geo_confidence":"inferred","locations":[],"countries":[],"hiring_countries":["US"],"hiring_countries_total":1,"salary":null,"salary_estimate":{"min_usd":78000,"max_usd":163000,"period":"year","method":"global_role_seniority_cell","sample_n":3669},"experience_years_min":null,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-10-22T03:59:59Z","employer_posted_date":null,"last_verified_at":"2026-10-22T03:59:59Z","board_verified":false,"closed_at":null,"days_open":2,"trust":{"level":"not_scored","repost_count":null,"flags":[],"days_open":2},"description":"Job SummaryThe Senior Workers' Compensation Specialist, Complex Claims, verifies workers' compensation (WC) carrier and claim information, then manages billing, follow-up, denials and appeals through to payment. In this senior-level role, the Specialist works WC and No-Fault accounts autonomously, negotiates with carriers and adjusters, and flags trends that affect reimbursement. The Specialist also works with leadership and their direct manager to improve workflows and streamline operations. The ideal candidate knows orthopedic and pain management billing, state WC guidelines and major insurance carriers.\nEssential FunctionsVerifies workers' compensation carrier and claim information before and during billing, including:\nConfirming the correct WC carrier, claim number, date of injury, employer and adjuster contact details.\nConfirming claim status (accepted, pending, denied or closed) and the accepted body parts / injuries.\nObtaining and documenting authorizations and referrals for scheduled services.\nUsing carrier phone lines, adjusters, employer contacts and web portals, and noting all findings in the patient account.\nInitiates contact with WC insurance carriers, adjusters and web portals on all outstanding bills, updating accounts and noting them as worked.\nPrepares and submits claims, verifying accuracy and correcting errors before submission.\nPrepares appeals with all required documentation and submits them to the insurance carrier within filing deadlines.\nCorrects inaccurate demographic and insurance information for insurance and patient billing.\nAlerts the team and managers to trends, recurring denials or billing issues as they arise.\nWorks with leadership and their direct manager to find process gaps, streamline workflows and improve reimbursement and collection outcomes, including creating, updating and maintaining Standard Operating Procedures (SOPs) for workers' compensation and No-Fault processes.\nMentors and trains less-experienced team members, and serves as the go-to expert on workers' compensation and No-Fault billing.\nTakes ownership of complex and escalated accounts through to resolution, using independent judgment within department policies.\nPosts payments and documents payment records and issues promptly.\nScans and uploads documents and medical records for claims processing and medical records requests.\nOriginally posted on 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