Title: Technical Service Specialist
Department/Function: Operations
Position Overview
We are seeking a PAD Technical Service Specialist to join our company's team. Reporting to the Technical Services / Operations Manager, the Technical Service Specialist will be responsible for quality reviews, procedure writing, data analytics and departmental adherence to regulatory / compliance guidelines. The ideal candidate will have strong leadership skills, a thorough understanding of Premium Audit processes, and a commitment to delivering high-quality service to our clients. This role requires completion of audits along with Technical Service Responsibilities.
Essential Job Functions
- Train, coach, and motivate staff by adhering to performance objectives and goals within the department and provide coaching and feedback.
- Serve as a technical resource to the premium auditors and act as a liaison with other departments, such as underwriting, accounting, and collections.
- Review audits to ensure that they are completed accurately and in compliance with guidelines and make recommendations for improvement.
- Address and respond to bureau criticism, oversight of the Test Audit Programs and bureau reporting.
- Conduct audits on highly complex Commercial Lines policies (WC, GL and auto) which entails a thorough review of the insureds operations and analysis of financial records. Documents include payroll records, tax returns/filings, general/expense ledgers to determine final exposures.
- Validates that the correct class codes are applied and are in accordance with governing regulatory agencies, independent state bureaus and company procedures to ensure premium accuracy and compliance requirements.
- Cultivate effective business relationships, internally and externally, to fulfill client expectations while addressing business needs in a timely fashion.
- Communicate with business partners in timely manner to address disputes, escalations and/or business need requests.
Job Requirements
- High degree of experience and technical knowledge of the NCCI, WCRIB and ISO manual
- Strong decision-making ability on complex audit handling scenarios while balancing bureau rules/regulations.
- 7+ years of premium audit or insurance audit experience
- Bachelor’s degree preferred or equivalent experience.
- Superior organization, attention to detail and workload management skills.
- Experience thriving working in a remote environment.
- APA certification a plus
- NEXUSAudit™ knowledge and experience highly preferred.
NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as negotiated to meet the ongoing needs of the organization.
