Premium Audit Reviewer

This role is based in the US. Candidates must live in and have authorization to work in the United States. Visa sponsorship not available.

We are searching for a Premium Audit Reviewer to join our team!

This role reviews workers' compensation audit reports for accuracy. Key priorities include analyzing payroll and class code assignments. Ensure rules and procedures followed by third party auditors.

Responsibilities and Accountabilities

• Review audits received from vendors to verify and correct the audited classes and exposures.
• Return the audit to the vendor for corrections.
• Review completed audits that were previously estimated and revised.
• Work with underwriting for adding classes and/or advise of operations change.
• Explain premium audits and disputed audits to agents, insured and underwriters, as necessary.
• Perform other duties as assigned by the Premium Audit Manager.
• Responsible for maintaining a current workload according to audit guidelines.
• Maintain a high degree of trust through demonstrated personal integrity and ethical behavior.
• Responsible for the application of the NCCI Basic Workers Compensation Manual Rules and rules of Independent State Bureaus.
• Initiate the assistance of the underwriter and or audit supervisor/manager when needed to complete the audit review of a policy.
• Responsible for maintaining current on industry technical knowledge and skills.

Requirements

• Workers’ compensation audit experience preferred.
• Need to have an understanding of National Council on Compensation Insurance (NCCI) Rulings, Manual Rules and Labor Code.
• Knowledge of excel programs, understanding of accounting and workers compensation coverage knowledge for all states.
• Ability to communicate in a professional manner through all means. Documentation of decision processes.
• Personal planning, organizing, and working to deadlines. Relationship Management for both agents and insureds. Decision making during the audit process.
• Communication with their internal and external customers.
• Detail oriented with strong organization and time management skills.
• Effective communication skills with the ability to present subjects clearly to both technical and non- technical audiences and to interact tactfully and effectively in difficult situations.
• Strong analytical skills and problem-solving skills.
• The ability to establish and maintain effective, professional working relationships with supervisor, peers and clients is critical.
• Ability to work independently as well as in a team environment.
• Skill in use of 10-key calculator. Basic skill using Microsoft Office programs (i.e., Word and Excel).
• Experience in the insurance industry or closely related discipline preferred.
• Be able to analyze and compare policyholders’ financial reconciliations, payroll records and claim information.
• Determine and reconcile appropriate job classification codes.
• Apply the Basic Manual Rules, Classification to information obtained from audits.
• Have knowledge of the Labor Code and NCCI.
• Assist agents, insureds and underwriters on any issues that may come up.

Benefits

Service Insurance Companies offers a competitive benefits package, including:

• Healthcare (medical, dental & vision)
• Voluntary benefits (life & disability insurance)
• Pet Insurance
• 401K & profit sharing
• Generous paid time off & holidays
• Tuition reimbursement training