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Infographic showing various job openings at Proassurance in the United States as of September 2026, with employment types broken down into 100% Full Time. Highlights an 20% Physical, 47% Hybrid, and 33% Remote job distribution.

Workers' Compensation Compliance Specialist (CMS) - Eastern Alliance

Carmel, IN • On-site

ProAssurance
Insurance Services • 501 - 1,000 employees

Other

Posted 16 days ago


Job description

An exciting opportunity exists to join the ProAssurance family of companies! Our mission is powerful and simple: We protect others. Choosing a place to apply your talents is an important decision for anyone. You have plenty of options. Why choose ProAssurance? At ProAssurance, we sell a pledge, and that pledge is delivered by our team members. We are seeking individuals who value integrity, leadership, relationships, and enthusiasm—and want to build their career with a great company where they can be their authentic self and feel valued, recognized, and rewarded for their contributions. ProAssurance specializes in healthcare professional liability, products liability for medical technology and life sciences, legal professional liability, and workers' compensation insurance. We are an industry-leading specialty insurer, with job opportunities in much of the contiguous United States.

The internal title for this position is Compliance Specialist. This position supports our workers' compensation line of business, Eastern Alliance, and is hybrid, reporting to any of our Eastern Alliance office locations approximately 2 days per month.

The primary responsibility of this position is to ensure the Company’s compliance with the CMS mandatory insurer reporting requirements for Section 111 of the Medicare, Medicaid, and SCHIP Extension Act (MMSEA) Medicare Secondary Payer Act under the direction of management. Responsibilities of this position include managing all CMS data elements aspects for WC claims, including verifying data points and managing CMS related inquiries, including, but not limited to, conditional payment notices (CPNs) and Medicare Advantage liens under moderate supervision, following established Company requirements and procedures for reporting Section 111 for Ongoing Responsibility for Medicals (ORM) and Total Payment Obligation to Claimants (TPOC) timely and accurately.

What you'll do
  • 40% - Timely, accurately, and in accordance with statutory guidance and timelines, conduct research and inputs required Section 111 data elements into WCXP/Compliance fields required for quarterly submission to CMS
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