Premium Validation Program Analyst (Remote insurance role NE PA)

The Premium Validation Program Analyst plays an important role in PCRB’s ongoing efforts to modernize its premium validation and quality assurance programs. The position requires strong analytical skills, intellectual curiosity, and a commitment to continuous improvement. As PCRB expands its use of data analytics, automation, and artificial intelligence, the successful candidate will be adaptable, comfortable with evolving technology, and enthusiastic about identifying new ways to improve the accuracy, efficiency, and effectiveness of the program.

The Premium Validation Program Analyst works under the supervision of the Manager of Field Operations and is responsible for reviewing PA & DE carrier audits for compliance with manual rules, classification assignments, payroll allocations, claims, unit reports, pricing programs, and experience/merit ratings. The Analyst gathers information and verifies using Manual rules and standard premium auditing practices. This position supports PCRB’s responsibility to promote the accuracy, consistency, and integrity of workers’ compensation premium and classification data through independent review and quality assurance.

Essential Responsibilities: 

Non - Essential Responsibilities:

Requirements:

Education: Bachelor's degree in business or related field preferred. Professional designation (APA and/or CPCU) a plus

Experience: 2+ years of experience in premium auditing, insurance operations, accounting, insurance operations, compliance, data analysis, or a related analytical role. Experience reviewing and interpreting complex financial or insurance data, identifying discrepancies, and evaluating compliance with established rules or standards is desirable. Familiarity with workers’ compensation insurance is preferred. 

Skills: 

Strong analytical, investigative, reconciliation, and problem-solving skills, including the ability to identify discrepancies, evaluate information critically, and exercise sound professional judgment.

Strong organizational, communication, decision making, self-discipline, and written skills with the ability to work independently and adapt to various situations. 

Effective professional communication with various internal and external stakeholders. 

AI-curious, with a demonstrated interest in learning about artificial intelligence and its potential applications in improving business processes.

Demonstrated initiative, intellectual curiosity, and a continuous improvement mindset.

Technical competencies including Microsoft Office 365 . Communicate effectively with all levels of PCRB personnel and outside contacts. Must be able to manage multiple assignments and prioritize tasks accordingly.

Adaptable and receptive to new technologies, evolving processes, and innovative approaches to accomplishing work.