Workers' Compensation Auditor

ADP; El Paso (TX); On-site; USD 60,000 - 80,000; Full time

Job summary

ADP is seeking a Workers' Compensation Auditor to help manage client billing and ensure compliance with state regulations. The successful candidate will analyze client operations to ensure accurate classification of employees for workers' compensation.

The role involves collaboration with stakeholders, detailed auditing tasks, and documentation of audit reports. A Bachelor's degree and knowledge of NCCI guidelines are preferred, along with strong computer skills. This position is vital for ensuring ADP's financial integrity and client retention.

Qualifications

• 2+ years of experience in workers' compensation premium auditing.
• Strong understanding of NCCI class code manuals.
• Proficient in Microsoft Office, especially Excel.

Responsibilities

• Review client operations to assign correct workers' compensation codes.
• Document audit processes and maintain compliance.
• Communicate with clients to resolve class coding issues.

Skills

Knowledge of NCCI Scopes

Strong computer skills

Analysis using Microsoft Office

Education

Bachelor's Degree in Risk Management or related field

Tools

Salesforce

Job description

Description

ADP is hiring a Workers' Compensation Auditor. The position impacts ADP's financials and client retention by helping to ensure that client's workers' compensation bill rates are properly set and that our clients are properly billed. The tasks associated with these positions directly impact our workers' compensation program costs.

Job functions include reviewing ADP TotalSource's client's operations and employee duties using available information to ensure client's employees are assigned the correct class code per applicable NCCI and state workers' compensation bureau requirements. Properly document in detail the individual accounts reviewed, information gathered for review, and the review results. Review and analyze internal reports, workers' compensation insurance carrier reports and other available sources to verify the correctness of workers' compensation class codes assigned to ADP TotalSource client employees. Conduct accurate and timely reviews as required within the audit procedures and guidelines. Maintain compliance with class code rules within each state including monopolistic states.

RESPONSIBILITIES:

• Collaborate and communicate with internal and external stakeholders, as well as clients to develop and maintain cooperative relationships, including calling and emailing communication.
• Act as the workers' compensation class code subject matter expert to provide accurate and timely assistance for any 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 to change client employees' class codes or the setup new class codes for client's use.
• Perform all necessary system transactions and approvals.
• Work within stated guidelines and procedures to assist with final policy audit premium reconciliation.
• Assist in resolving any carrier, client, or state classification issues.
• Provide direct assistance in resolving state workers' compensation bureau criticisms.
• Prepare accurate and detailed audit reports document all issues involved in appropriate systems.
• Keeps current on all class code scopes changes and class code additions made by NCCI and/or state workers' compensation boards.
• Use appropriate documentation and reports related to ADP TotalSource's clients' business operations and their employees' duties to ensure that the client's employees are assigned the correct class code per applicable NCCI and/or state workers' compensation bureau requirements.
• Provide guidance to other business units within authority level.
• Provide direct involvement in the sales process by acting as a subject matter expert and assisting client acceptance in the review and proper class coding of new business.
• Provide direct support and assistance when needed for special projects. Performs other related duties as assigned.

QUALIFICATIONS REQUIRED:

• 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 necessary to access, retrieve and analyze information using Microsoft Office including Excel, PowerPoint, and Outlook.

PREFERRED QUALIFICATIONS: Preference will be given to candidates who have the following:

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

Diversity, Equity, Inclusion & Equal Employment Opportunity at ADP: ADP is committed to an inclusive, diverse and equitable workplace, and is further committed to providing equal employment opportunities regardless of any protected characteristic including: race, color, genetic information, creed, national origin, religion, sex, affectional or sexual orientation, gender identity or expression, lawful alien status, ancestry, age, marital status, protected veteran status or disability. Hiring decisions are based upon ADP’s operating needs, and applicant merit including, but not limited to, qualifications, experience, ability, availability, cooperation, and job performance.