Associate Member Services Analyst - Hybrid

Job Description

Job Description

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 the 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 This is a hybrid position where approximately 40% of the work time is spent at the home office in Oakland, California.

Summary

The Member Services Associate Analyst is responsible for ensuring the accuracy of workers’ compensation policy and loss data, and for the accurate calculation and timely publication of experience modifications for eligible employers in California. The Associate Analyst assists insurers in complying with the California Insurance Commissioner’s regulations outlined in the California Workers’ Compensation Uniform Statistical Reporting Plan—1995 and the California Workers’ Compensation Experience Rating Plan—1995, as they pertain to data reporting, experience rating and ownership. This is an entry level position for new staff and does not require any prior knowledge of insurance or workers’ compensation regulations.

Essential Duties and Responsibilities

• Completion of a training program, with coaching and mentorship provided by team members
• Reviews policy and unit statistical report (USR) data for accuracy to ensure WCIRB core responsibilities and services are not negatively impacted, including experience rating, advisory pure premium rates and coverage information.
• Follows department procedures for reviewing and processing policy and USR audit errors; timely review and resolution of insurer responses to audit errors in accordance with department standards.
• Provides verbal and written coaching and guidance to data reporters to resolve systemic data reporting issues and improve data quality.
• Collaborates frequently with team members, leadership, and other internal stakeholders to identify and resolve customer data reporting issues.
• Performs analytical research to determine proper ownership and combinability of entities; taking the requisite steps to ensure experience modifications are applied correctly to all impacted policies following ownership decision.
• Reviews policy information to identify potential lapses or overlapping insurance coverage and initiates communication with insurers to resolve.
• Identifies and timely reports system issues; collaborates with internal stakeholders to document and implement fixes for resolution.
• Participates in special projects or tasks, as assigned by management.

Education and Experience

Our employees enjoy a state of the art, energy-efficient, open work environment that nurtures collaboration and creativity. Our benefits package is thoughtfully designed to ensure our team enjoys the support and perks that enhance their personal and professional lives.

Our benefits include :

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.