Analyst, Quality Assurance Workers Compensation

Risk Programs/ Workers Compensation Operations Function

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. 

• 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.

As a Workers Compensation Operations Analyst, how results are achieved is paramount for your success and ultimately result in our success as an organization. In this role, your foundational knowledge, skills, abilities and personal attributes are anchored in the following competencies:

• Detail-oriented - exercises extreme attention to detail; is thorough, accurate, organized, and productive and seeks to understand both the cause and effect of a situation.

• Ethical practice - the ability to integrate core values, integrity and accountability throughout all organizational and business practices.

• Clear communication - the ability to articulate thoughts and express ideas effectively using oral, written, visual and non-verbal communication skills, as well as listening skills to gain understanding.

• Analytical - uses a logical reasoning process to break down and work through a situation or problem to arrive at an outcome.

• Good judgment - the exercise of critical thinking, analyzing and assessing problems and implications, identifying patterns, making connections of underlying issues, understanding risks and developing mitigation strategies, and taking ownership of the outcome.

In addition, all Justworkers focus on aligning their behaviors to our core values known as COGIS. It stands for:

• Camaraderie - Day to day you can be seen working together toward a higher purpose. You like to have fun. You’re an active listener, treat people respectfully, and have a strong desire to know and help others.
• Openness - Your default is to be open. You're willing to share information, understand other perspectives, and consider new possibilities. You’re curious, ask open questions, and are receptive to thoughts and feedback from others.
• Grit - You demonstrate grit by having the courage to commit and persevere. You’re committed, earnest, and dive in to get the job done well with a positive attitude.
• Integrity - Simply put, do what you say and say what you'll do. You’re honest and forthright, have a strong moral compass, and strive to match your words with your actions while leading by example. 
• Simplicity - Be like Einstein: “Everything should be made as simple as possible, but no simpler.

• Minimum of 2 years experience in a similar role
• Excel and/or SQL knowledge required
• Experience with workers’ compensation a plus
• 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

The base wage range for this position based in our New York City OR Tampa Office is targeted at $75,500.00 - $83,050.00 per year.