Virtual Fraud Analyst Jobs in Texas (NOW HIRING)

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Texas Mutual is deeply committed to creating and maintaining an environment of mutual respect and is proud to be an equal opportunity employer. All qualified applicants are encouraged to apply and will receive consideration for employment without regard to age, race, color, national origin, religion, sex, gender identity, sexual orientation, genetic information, veteran status, or any other basis protected by local, state, or federal law.

About this PositionAt Texas Mutual, we are proud to create a stronger, safer Texas. That means helping injured workers return to a productive life, empowering businesses to thrive, and giving back to our communities. The Premium Audit team plays a major role in these efforts by determining the final premium for our policyholders at the conclusion of each policy term.Responsibilities & Qualifications

In this role, you can expect to:

• Determine the policyholder's true earned workers' compensation premium. You will conduct reviews, interviews and audits, on the policyholder's premises.
• Analyze the policyholder's financial reconciliations to ensure they match
• Compare the policyholder's payroll records with the estimated or actual payroll reported
• Determine the appropriate job classification codes for the policyholder's employees by reviewing the workforce and interviewing the policyholder
• Reconcile the appropriate job classification code with the code reported and adjusting premium accordingly
• Determine scope of operations by reviewing contracts between the policyholder and other entities and applying IRS revenue rulings and workers' compensation statutes and rules to determine whether a true independent contractor relationship exists versus common law employee status
• Apply the Texas Basic Manual Rules, Classifications and Rates for Workers' Compensation to the information obtained from the audit to determine the proper premium basis

Provide professional and technical explanations to policyholders and agents concerning proper classifications as to the policyholder's operations, to include:

• Communicating information in a highly professional manner both verbally and in writing policyholders, agents and other customers (both internal and external)
• Recommending proper accounting procedures to policyholders
• Identifying potential premium fraud by policyholders and forwards fraud referrals to the Special Investigations Department
• Contributing to the effectiveness of Underwriting and Safety Services by conveying physical, financial and other pertinent information gained or determined by analysis of the policyholder's operations and financial structure

In the Senior role, you can also expect to:

• Provide advanced premium audit expertise to staff, management, policyholders, and agents, by:
  • Training staff, policyholders, and agents on auditing as requested.
  • Serving as a subject matter expert on projects and process discussions.
  • Recommending and documenting premium audit procedures.
  • Assisting management in coordinating departmental workflow, staff, and resources.
  • Consulting on complex premium audit matters.

The successful candidate must have:

• Bachelor's degree or equivalent education, training and experience.
• At least two years' premium audit experience or equivalent education, training and experience for non-senior role and at least four years of premium audit experience for senior role.
• Knowledge of underwriting principles and procedures, the NCCI Basic Manual of rules and Texas labor codes.
• Valid Texas driver's license.

It would be great to have:

• CPCU or Associate in Premium Audit designation
• Bilingual proficiency in Spanish

Texas Mutual Pay Transparency

The base pay range is based on the market evaluation of the job and may include pay for multiple levels. Individual base pay within the range is determined by a variety of factors, including experience, performance, education, and demonstration of skills and competencies required for each role.Your recruiter can discuss the full value of our total compensation package with you, including our generous bonus plans and flex-hybrid work model.

Base Pay Range: $37.02 - $55.33 Per HourFlex-Hybrid Work Environment:

Texas Mutual's flex-hybrid schedule allows you to bring your best self to work by working remotely and collaborating in the office based on business needs. All Texas Mutual employees are required to have Texas residency and travel to their designated office as needed.

Our Benefits:

• Annual performance bonus and merit-based pay increase

• Lifestyle Savings Account ($1,000 per year)

• Automatic 4% employer contribution to retirement plan

• 401k plan with 100% employer match up to 6%

• Student loan repayment matching in 401k plan

• Three weeks' time off for vacation

• Nine paid holidays and two personal days each year

• Day one health, Rx, vision and dental insurance

• Life and disability insurance

• Flexible spending account

• Pet insurance and pet Rx discounts

• Free on-site gym, fitness classes, and health and wellness resources

• Free identity theft protection

• Free student loan repayment and refinancing consultation

• Professional development and tuition reimbursement

• Employee referral bonus

• Free onsite snacks