Talent.com
Field Audit Representative - Fresno / Stockton / Central Valley

Field Audit Representative - Fresno / Stockton / Central Valley

Workers'​ Compensation Insurance Rating Bureau of California (WCIRB)Fresno County, CA, United States
5 hours ago
Job type
  • Full-time
Job description

Join the WCIRB as a Field Representative!

Field Representative - Fresno / Stockton / Central Valley

For over a century, the Workers' Compensation Insurance Rating Bureau of California (WCIRB) has been California's trusted, objective provider of actuarially based information and research, advisory pure premium rates and educational services integral to a healthy workers' compensation system.

The WCIRB is a California unincorporated, private, nonprofit association comprised of all companies licensed to transact workers' compensation insurance in California. The operations of the WCIRB are funded primarily by membership fees and assessments; no state money is used to fund its operations. The WCIRB is a stable company and a proven leader in the workers’ compensation insurance industry nationwide.

The WCIRB performs a number of functions to accurately measure the cost of providing workers' compensation benefits and ensure a healthy workers’ compensation system. To learn more about our company, please visit About Us | WCIRB California. The WCIRB employs approximately 175 people with an average tenure of over 10 years. We are committed to fostering a healthy, safe and diverse work environment leading to a dedicated, collaborative and innovative workforce,

Summary

This is a field-based position, with work performed from a home office and travel to insureds’ locations as required.

The Field Representative uses significant independent judgment in applying knowledge of the workers’ compensation insurance standard classification system and of WCIRB procedures to analyze information collected and to determine the standard classifications that apply to a policyholder’s operations. Working independently, the Field Representative is responsible for (1) classification inspection reports, (2) Test Audits of payroll, (3) Test Audits of claims classifications, and (4) general email and phone correspondence with insurers, agents and brokers and employers.

Core areas of responsibility include :

1 . Field Representatives are expected to meet established quality and quantity requirements including :

  • Production : The Field Representative is required to hit production goals for inspections and Test Audits.
  • Quality : The Field Representative is required to produce both a quality inspection and test audit that are reflective of a business classification and payroll.

2. Field Representatives meet and interact directly with California business owners, with a primary responsibility of delivering a positive customer experience through accessibility, responsiveness, and professional conduct.

Essential Duties and Responsibilities

  • Interviews policyholders and inspects their premises to obtain information needed to properly classify their business operation for workers’ compensation insurance purposes.
  • Prepares, proofreads and submits classification inspection reports describing the employer’s business.
  • Examines insurers’ payroll audits and policyholders’ payroll records to verify the proper reporting of exposure by classification for unit statistical purposes.
  • Conducts claims classification audits to verify the classifications assigned by insurers to reported claims.
  • Prepares, proofreads and submits the results of Test Audits and claims classification audits.
  • Conducts ride along with team members and other employees from home office (as needed)
  • Prepares general correspondence including setting appointments, emails and phone calls to employers, insurers, agents and brokers.
  • Qualifications

    To perform this job successfully, the individual must be able to execute the tasks discussed in this job description. The requirements listed below are representative of the knowledge, skills and / or ability required. Reasonable accommodations, as required by ADA, may be made to enable individuals with disabilities to perform the essential functions.

  • Bachelor’s degree (including completed courses in relevant areas such as business administration, accounting, bookkeeping, mathematics, risk management, accounting, and communication) or a minimum of 3 years of Premium Audit experience with an insurance carrier / fee audit company or equivalent experience that demonstrates the required writing, analytical and computer skills.
  • Proficiency in basic workers’ compensation payroll auditing and general understanding of the administration of the standard classification system.
  • Proficiency in Word and Excel.
  • Position requires a self-starter who can work independently and meet production goals.
  • Must have excellent interpersonal skills and the ability to interface with a variety of individuals in a number of different settings or work conditions.
  • Sufficient mathematical skills to understand payroll records to conduct a payroll audit.
  • Solid language skills to communicate clearly with co-workers and people outside the WCIRB, and to write and proofread inspection reports that are sent directly to the insurer without secondary review.
  • Certificates, Licenses, Registrations

    Valid California driver’s license required.

    Work Environment

    The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • 40%-60% time spent either at policyholders’ locations or traveling thereto. Actual travel time varies with assigned territory. Travel may require overnight stays away from home.
  • 40%-60% time spent at Field Representative’s home office engaged in preparing for, researching, and producing classification inspection reports and test audit reports.
  • On-site inspections involve exposure to a variety of work conditions that are not under the WCIRB’s control.
  • Success partly depends on effective time management skills, self-motivation, excellent follow through and comfort with working independently and alone most of the time.
  • Work requires attention to detail over long periods of time.
  • Work is performed at fast, accurate pace and in an occasionally stressful environment.
  • Work requires that certain production goals be met.
  • Perks & Benefits

    At the WCIRB, we go the extra mile to keep our employees happy and healthy.

    Proud to be recognized as a Plan Sponsor of the Year finalist for our commitment to retirement readiness through strong 401k and pension offerings.

    Some of our benefits and perks include :

  • Medical, dental and vision benefits
  • Competitive PTO Program
  • Wellness benefits
  • 401K and pension plan
  • Social activities
  • Community volunteer involvement
  • WCIRB is an equal opportunity employer committed to an inclusive workplace that fosters belonging. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, age, genetic information, or any other basis prohibited by law. We also consider qualified applicants with criminal histories consistent with applicable federal, state and local law.

    Benefits :

  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance
  • Work from home
  • Thank you for your interest in the WCIRB!

    Create a job alert for this search

    Field Representative • Fresno County, CA, United States

    Related jobs
    • Promoted
    Inpatient Audit Specialist

    Inpatient Audit Specialist

    VirtualVocationsFresno, California, United States
    Full-time
    A company is looking for an Inpatient Audit Specialist to conduct coding audits and provide education related to coding quality and compliance. Key Responsibilities Conduct inpatient coding audits...Show moreLast updated: 30+ days ago
    • Promoted
    Field Reimbursement Manager

    Field Reimbursement Manager

    MCKESSONCA, United States
    Full-time
    McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare.We are known for delivering insights, products, and services that make quality care more accessibl...Show moreLast updated: 8 days ago
    • Promoted
    • New!
    Prebill Specialist

    Prebill Specialist

    VirtualVocationsFresno, California, United States
    Full-time
    A company is looking for a PreBill Specialist I.Key Responsibilities Verify prebill information, including patient demographics and payor details, before coding Utilize system tools to locate in...Show moreLast updated: 10 hours ago
    • Promoted
    United States Customs and Border Protection Officer

    United States Customs and Border Protection Officer

    U.S. Customs and Border ProtectionAuberry, California, US
    Full-time +1
    Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...Show moreLast updated: 3 days ago
    • Promoted
    Field Sales Representative

    Field Sales Representative

    AT&TFresno, CA, US
    Full-time
    Join an elite group of sales professionals bringing customized, white glove experiences directly in the customer's home.Field Sales Representatives at AT&T are driven to connect every interaction ...Show moreLast updated: 17 days ago
    • Promoted
    Performance Analyst

    Performance Analyst

    VirtualVocationsFresno, California, United States
    Full-time
    A company is looking for a Performance Analyst.Key Responsibilities Conducts audits on claims, customer service inquiries, and enrollment activities, supporting internal audit functions Maintain...Show moreLast updated: 30+ days ago
    • Promoted
    CPA Auditor Manager (Healthcare)

    CPA Auditor Manager (Healthcare)

    VirtualVocationsFresno, California, United States
    Full-time
    A company is looking for a CPA Auditor - Manager (Healthcare).Key Responsibilities Deliver external assurance services and business advisory support to healthcare clients Lead teams and manage c...Show moreLast updated: 2 days ago
    • Promoted
    • New!
    Field Audit Representative - Fresno / Stockton / Central Valley

    Field Audit Representative - Fresno / Stockton / Central Valley

    Workers' Compensation Insurance Rating Bureau of California (WCIRB)Fresno County, California, United States
    Full-time
    Join the WCIRB as a Field Representative!.Field Representative - Fresno / Stockton / Central Valley.For over a century, the Workers' Compensation Insurance Rating Bureau of California (WCIRB) has been ...Show moreLast updated: 5 hours ago
    • Promoted
    • New!
    Field Support Specialist

    Field Support Specialist

    VirtualVocationsFresno, California, United States
    Full-time
    A company is looking for a Field Support Specialist (Temporary).Key Responsibilities Provide first line support for field staff via Slack, phone, and ticketing systems Troubleshoot real-time ope...Show moreLast updated: 6 hours ago
    • Promoted
    Senior Auditor

    Senior Auditor

    VirtualVocationsFresno, California, United States
    Full-time
    A company is looking for a Senior Auditor.Key Responsibilities Support the Auditor in Charge (AIC) in audit planning, testing approaches, and conclusions Communicate with senior audit management...Show moreLast updated: 30+ days ago
    • Promoted
    Auditor / Investigator II

    Auditor / Investigator II

    VirtualVocationsFresno, California, United States
    Full-time
    A company is looking for an Auditor / Investigator II.Key Responsibilities Monitor the processing and reconciliation of electronic medical records and prepay claims Support research of prepay and ...Show moreLast updated: 2 days ago
    • Promoted
    Electrical Technician - Helms

    Electrical Technician - Helms

    Pacific Gas and Electric CompanyShaver Lake, CA, United States
    Full-time
    Job Category : Maintenance / Construction / Operations.Job Level : Individual Contributor.Business Unit : Operations - Other. Power Generation operates and maintains PG&E's hydroelectric, fossil, solar...Show moreLast updated: 30+ days ago
    • Promoted
    Program Integrity Audit Analyst

    Program Integrity Audit Analyst

    VirtualVocationsFresno, California, United States
    Full-time
    A company is looking for a Program Integrity Audit Analyst II.Key Responsibilities Conduct performance audits of Medicaid Managed Care Plans to identify fraud, waste, and abuse Document findings...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Medicare Cost Auditor

    Medicare Cost Auditor

    VirtualVocationsFresno, California, United States
    Part-time
    A company is looking for a Part-Time Medicare Cost Auditor.Key Responsibilities Plan and execute audits in accordance with professional auditing standards, focusing on operational controls and co...Show moreLast updated: 14 hours ago
    • Promoted
    Field Reimbursement Manager

    Field Reimbursement Manager

    VirtualVocationsFresno, California, United States
    Full-time
    A company is looking for a Field Reimbursement Manager.Key Responsibilities Solve complex patient access issues by collaborating with various stakeholders Educate healthcare providers and office...Show moreLast updated: 10 days ago
    • Promoted
    • New!
    Certified Medicare Cost Auditor

    Certified Medicare Cost Auditor

    VirtualVocationsFresno, California, United States
    Part-time
    A company is looking for a Part-Time Medicare Cost Auditor.Key Responsibilities Plan and execute audits in accordance with professional auditing standards, focusing on operational controls and co...Show moreLast updated: 14 hours ago
    • Promoted
    • New!
    Audit and Compliance Analyst

    Audit and Compliance Analyst

    VirtualVocationsFresno, California, United States
    Full-time
    A company is looking for a NDS Processing Operations - Audit & Compliance Senior Analyst.Key Responsibilities Support audit and compliance for Consumer Loans, enhancing operational effectiveness ...Show moreLast updated: 6 hours ago
    • Promoted
    • New!
    Field Audit Representative - Fresno / Stockton / Central Valley

    Field Audit Representative - Fresno / Stockton / Central Valley

    Workers'​ Compensation Insurance Rating Bureau of California (WCIRB)Fresno, CA, United States
    Full-time
    Join the WCIRB as a Field Representative!.Field Representative - Fresno / Stockton / Central Valley.For over a century, the Workers' Compensation Insurance Rating Bureau of California (WCIRB) has been ...Show moreLast updated: 5 hours ago
    • Promoted
    Audit Associate

    Audit Associate

    VirtualVocationsFresno, California, United States
    Full-time
    A company is looking for a Remote Audit Associate.Key Responsibilities Perform operational, financial, compliance, or IT audits and evaluate internal controls Prepare work papers to document aud...Show moreLast updated: 1 day ago
    • Promoted
    • New!
    Medicare Auditor II

    Medicare Auditor II

    VirtualVocationsFresno, California, United States
    Full-time
    A company is looking for a Medicare Cost Reporting Auditor II.Key Responsibilities Conduct internal and external operational, compliance, and financial audits, evaluating internal controls and id...Show moreLast updated: 14 hours ago