QA SpecialistApply Now
Conducts field inspection services to ensure that the workers’ compensation classification system has been applied correctly at the discrete employer level to arrive at the most appropriate premium for a policy and consistency in application for the system. Provides comprehensive technical expertise in the classification system and participates and testifies as an expert witness in support of the Classification System at administrative, non-judicial, or judicial proceedings.
Territory is the state of Virginia. Occasional travel to West Virginia may be required.
This position requires 80% travel.
Reviews, selects and prioritizes inspection assignments and schedules inspection appointments. Performs physical inspections by conducting background research on the insured and operations, including reviewing policy details, current classifications, Basic and Scopes Manuals, and any other preparation necessary, such as a list of exception questions, to conduct the physical inspection. Coordinates with any additional external parties as necessary. Develops questionnaire for the physical inspection. Updates all information and metadata in the inspection system. Performs physical inspections of insured operations for the Classification Quality Assurance program or customer requests and then complete the classification inspection report. Travels to the various locations of the insured.
Analyzes and identifies issues as it relates to the classification codes based on observations and inspection reports. Reviews and responds to inspection correspondence. Reviews and resolves classification inspection disputes. Serves as the regional expert or resource in classification issues and general industry trends. Assists NCCI staff and regulators with classification issues and provides assistance and testimony in classification code appeals and in support of classification code analysis.
Reviews and researches manual, databases on classification system. Responsible for other duties as assigned to include special projects.
Required Education, Experience and Skills:
Bachelor’s degree and 3 or more years insurance experience in premium audit conducting field audits, classification inspections, audit review, underwriting and/or other relevant field role with 2 or more years in workers compensation experience.
In lieu of a degree, High School Diploma/GED and 6 or more years insurance experience in premium audit conducting field audits, classification inspections, audit review, underwriting and/or other relevant field role including 4 or more years workers compensation experience is required.
Demonstrated comprehensive knowledge of proper audit techniques and standards of audits/inspections.
Demonstrated knowledge of compensation infrastructure to include Basic Manual, Scopes Manual, and Classification system.
Strong analytical and interpretive skills are needed in order to appropriately determine and assign classification codes based on physical inspection and understanding of insured’s operations.
Proficiency with technology including Microsoft based PC environments, tools, and scheduling applications and spreadsheets.
Demonstrated ability to manage multiple tasks, time management and project management skills.
Ability to provide expert testimony at administrative and judicial hearings.
Preferred Education, Experience and Skills:
Professional insurance designation is preferred in Associate in Underwriting (AU); Associate in Premium Audit (APA); or CPCU.
Key words: premium audit, field audit, workers compensation insurance, workers compensation underwriting, underwriter, classification inspection, audit review, premium auditor, field inspection, classification field inspection, inspector, property casualty, property casualty insurance
At NCCI, we recognize that our employees are the reason our legacy endures today. We’re motivated by the opportunity to do challenging and interesting work, and our Total Rewards package attracts top talent. Our employees care about each other and the communities in which they live and work. Our values of integrity, respect, quality and excellence, responsibility, and commitment, guide our success.
We require a drug screen and background check.
EEO/Smoke Free environment