Workers' Compensation Auditor

About the role

This position impacts ADP's financials and client retention by ensuring that clients' workers' compensation bill rates are properly set and that clients are accurately billed. The role directly influences workers' compensation program costs by reviewing client operations and employee duties to assign correct class codes per NCCI and state workers' compensation bureau requirements.

Responsibilities

• Review ADP TotalSource clients' operations and employee duties to ensure correct workers' compensation class codes are assigned per NCCI and state requirements.
• Document individual account reviews, information gathered, and review results in detail.
• Analyze internal reports, insurance carrier reports, and other sources to verify correctness of class codes assigned to client employees.
• Conduct accurate and timely reviews within audit procedures and guidelines, maintaining compliance with state class code rules, including monopolistic states.
• Collaborate and communicate with internal and external stakeholders, including clients, via calls and emails to develop cooperative relationships.
• Act as the workers' compensation class code subject matter expert to assist with client class coding issues.
• Review and approve workers' compensation class code set-up and change requests for client worksite employees.
• Maintain documentation to support decisions for changing or setting up new class codes.
• Perform necessary system transactions and approvals.
• Assist with final policy audit premium reconciliation within stated guidelines.
• Resolve carrier, client, or state classification issues.
• Provide direct assistance in resolving state workers' compensation bureau criticisms.
• Prepare accurate and detailed audit reports, documenting all issues in appropriate systems.
• Stay current on class code scope changes and additions by NCCI and/or state workers' compensation boards.
• Use documentation and reports to ensure correct class code assignment for clients' employees.
• Provide guidance to other business units within authority level.
• Act as a subject matter expert in the sales process, assisting with client acceptance and proper class coding of new business.
• Provide direct support for special projects as needed.
• Perform other related duties as assigned.

Requirements

• 2+ years of directly related experience as a workers' compensation premium auditor, working directly or indirectly for the commercial insurance industry.
• Strong working knowledge of NCCI Scopes and state class code manuals.
• Strong computer skills to access, retrieve, and analyze information using Microsoft Office (Excel, PowerPoint, Outlook).

Preferred Qualifications

• Bachelor's Degree in Risk Management, Business, or related field.
• PEO experience.
• Salesforce experience.