Workers' Compensation Analyst

Job Description

The City of Raleigh is seeking a Workers’ Compensation Analyst to join the Human Resources Department. This role is critical in supporting the City’s commitment to employee well-being by ensuring timely, fair, and compliant administration of workers’ compensation claims. The Workers’ Compensation Analyst plays a key role in managing claims, coordinating with medical providers, and ensuring adherence to legal and policy standards. This position manages and monitors workers’ compensation claims from start to resolution. You will serve as a liaison between employees, departments, medical providers, and third-party administrators to ensure accurate and timely processing of claims. You’ll also analyze trends, ensure compliance with state and federal regulations, and support return-to-work initiatives.

This role offers the opportunity to make a meaningful impact on the employee experience while developing expertise in risk management, claims administration, and occupational health.

Duties and Responsibilities

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by employees in this job. Employees may be requested to perform job-related tasks other than those specifically presented in this description.

• Administer and monitor workers’ compensation claims in compliance with North Carolina Workers’ Compensation Act and City policies.
• Serve as the primary point of contact for injured employees, supervisors, and third-party administrators.
• Coordinate medical treatment and return-to-work plans with providers and departments.
• Investigate claims, gather documentation, and determine compensability.
• Maintain accurate records and documentation in the HRIS and claims management systems.
• Analyze claims data and trends to identify areas for improvement and risk mitigation.
• Collaborate with Legal, Safety, and HR Business Partners on complex cases.
• Provide training and guidance to departments on workers’ compensation procedures.
• Ensure timely reporting and compliance with OSHA and other regulatory requirements.
• Support audits and reporting related to workers’ compensation and occupational health.

Typical Qualifications

Education and Experience:

• Experience in public sector or municipal government
• Knowledge of North Carolina Workers’ Compensation laws
• Experience with HRIS systems (PeopleSoft preferred)
• Certified Workers’ Compensation Professional (CWCP), PHR, or related certification
• PHR/SHRM-CP

Additional Information

Knowledge Of:

• Workers' compensation laws and regulations
• Claims management and investigation techniques
• Medical terminology and occupational health practices
• Human Resources policies, procedures, and best practices

• Managing multiple claims and priorities with accuracy
• Strong analytical and problem-solving skills
• Communicating effectively with diverse stakeholders
• Analyzing data and preparing reports
• Navigating HRIS and claims systems
• Navigating Microsoft Office Suite, especially Excel and Outlook

• Work independently and collaboratively in a fast-paced environment
• Manage sensitive and confidential information

ADA and Other Requirements:

Physical Effort:
Sedentary: Exerting up to 10 pounds of force occasionally, a negligible amount of force frequently, and/or constantly having to lift, carry, push, pull, or otherwise move objects, including the human body.

Work Environment:
Work is typically performed in an office or similar indoor environment.

Work Exposures:
Work in this position does not require frequent environmental exposures. Employees may occasionally be exposed to Individuals who are hostile or irate.

City of Raleigh is an Equal Employment Opportunity (EEO) employer. Accommodations for individuals with disabilities are provided upon request.