Analyst, Quality Assurance Workers Compensation
About The Position
The Quality Assurance Analyst will help manage the day-to-day operations of Justworks’ Workers Compensation team. They will support customer requests related to Justworks’ workers’ compensation policy, ensure workers’ comp coverage for customers, and help manage records between Justworks and our carriers, vendors, and state workers’ compensation bureaus. This position will work to evaluate workers’ compensation insurance risks, working closely with the Underwriting, Workers Compensation Operations, Customer Support, Claims and Licensing teams at Justworks. You have no issue with doing what needs to be done in troubleshooting, addressing, and escalating emerging issues. You’re successful in working independently to meet deadlines, and can also collaborate cross functionally within the organization and with third party vendors. You are a champion of analyzing, lateral thinking, and problem solving.
Requirements
- Minimum of 2 years experience in a similar role
- Excel and/or SQL knowledge required
- Strong written and verbal communication skills
- Collaborative and team oriented
- Extremely detail-oriented with great time management skills
- Experience working in a fast-paced, data-driven environment
- Experience working cross-functionally
Nice To Haves
- Experience with workers’ compensation a plus
Responsibilities
- Resolve Workers’ Comp inquiries generated by Justworks’ Customer Success team by reaching out to appropriate state agencies, internal Justworks teams, and carrier
- Evaluate customer records to create workers’ comp policies for new locations and underwrite new employee class codes in customers’ workforce
- Execute day-to-day operations for the Workers’ Compensation Program at Justworks, including the master policy and Ohio Bureau of Workers’ Compensation (BWC).
- Prepare and remit timely and accurate reports to carriers and state agencies, including, but not limited to payroll, premium, and customer validation.
- Perform true ups of data to validate Justworks customer information with carrier records
- Work with third party vendors to resolve escalated issues - re-underwriting, classifications, coverage issues.
- Collect customer data and other sensitive information through proprietary systems to report business operations and risk profile to the carrier.
- Audit third party vendors to benchmarks on a monthly basis and report on any inconsistencies to stakeholders.
- Assist in resolving deficiencies that arise in audits and validations.
- Create and maintain queries to pull data from Justworks' client book, including but not limited to class codes, customer locations, salaries and fees, job titles, policy effective dates.
- Collect and report KPI metrics on a weekly, monthly and yearly cadence
- Assist with SOX compliance.
- Document internal processes/controls in Confluence and maintain accuracy articles.
- Maintain a positive attitude, even in the face of adversity
- Assist with large projects such as renewal of workers’ compensation renewals, audits, etc.
- Review and check accuracy of claims data in the RMIS system to include but not limited to correct class code, correct site codes, correct customer, correct member, correct policy attachment.
- Review and report on claims activity monthly.
- Perform other related responsibilities as needed based on department and/or organizational needs.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
Number of Employees
1,001-5,000 employees
