The Workers' Compensation Insurance Rating Bureau of California (WCIRB) is 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, and has over 400 member companies. No state money is used to fund its operations. The operations of the WCIRB are funded primarily by membership fees and assessments.

To accurately measure the cost of providing workers' compensation benefits, the WCIRB performs a number of functions, including collection of premium and loss data on every workers' compensation insurance policy, examination of policy documents, inspections of insured businesses, and test audits of insurer payroll audits and claims classification.

The WCIRB employs approximately 175 people. The home office is located in Oakland, California.

Summary

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 reflected in the Standard Performance Requirements including:

2. Communication: A Field Representative is required to meet and interact directly with California business owners, a primary responsibility is to provide a positive customer experience (including accessibility, timeliness, and professional decorum).

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.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Work requires mobility with frequent stooping, bending and standing.
• Frequent use of arms for lifting, stretching and reaching and use of legs for walking and lifting.
• 75% to 80% of work hours are spent sitting down.
• Significant use of laptop computer.

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.

Disclaimer

Management may assign or reassign duties and responsibilities to this position at any time. As such, the job description may be revised depending on the WCIRB’s needs. Further, this job description is a general summary of responsibilities and requirements and is not intended to be all-inclusive of the responsibilities and requirements of this position.

Please note that the WCIRB has enacted a mandatory COVID-19 vaccine requirement for all employees. Proof of full vaccination or an approved exemption or deferral is required of all employees, including new hires.