Regulatory Services Coordinator

  • NCCI Holdings
  • Boca Raton, FL, United States
Quality Control Skilled Labor

Job Description

Since 1923, NCCI has been committed to fostering a healthy workers compensation system. We are the nation’s trusted source for accurate, objective workers compensation information. Learn about how you can contribute to our company’s success in the following position:

Job Purpose:
Responsible for reviewing inspection and audit orders, obtaining appropriate Letters of Authorization (LOAs), verifying insured policy, billing and profile information, assigning work to staff/vendor inspectors and technical/quality assurance reviewers, and distributing completed inspection and audit reports. Responsible for importing supporting documents into files, resolving issues with vendor inspectors and customers, assigning inquiries from customer service, tracking timeliness and monthly allocations completed by vendors, and processing invoices for inspection services. 

Major Duties:
Reviews all external requests for inspection and audit orders for Classification Quality Assurance inspections. Verifies all related information as it relates to the inspections to include policy information to create a policy/employer profile and any special processing or customer instructions prior to the scheduled inspections/audits. Assigns inspections to appropriate staff or external contract inspectors based on assigned service areas. Updates assignment information with appropriate policy and contact information necessary to assign inspections and audits to staff or contract inspectors. Participates in the development of criteria and queries for selection of inspection candidates to satisfy Classification Quality Assurance Program requirements. Uses queries to generate reports of eligible employers, by state, that meet the criteria for Classification Quality Assurance inspections. Prepares reports to reflect progress on CQA Program inspection status.

Decrypt, extract and import vendor inspection reports into the system. Assigns completed inspections and audits to a review and/or quality analyst. Monitors and notify vendors of late assignments and requests for status updates. Receives completed inspections and audits. Prints and mails copies of the completed reports and audits to the appropriate customers. Processes internal and external customer requests for status updates. Works with Manager to resolves customer complaints.

Processes vendor invoices for payment for inspection services and update the Inspection system. Resolves issues with vendors, including scheduling and billing discrepancies. Identifies trends or patterns of abusive vendor practices. Identifies solutions or process changes to resolve issues.
Participates in special projects and testing pertaining to systems or processes impacting Regulatory Assurance operations and the Classification System. Reviews emails, complete administrative tasks, attend meetings, complete training and other duties as assigned.

Required Education, Experience & Skills:
High School Diploma and 3 or more years of related administrative experience or related vocational insurance training.