Specialist, Premium Audit (Field Premium Auditor)

Nationwide Ohio , IL 61349

Posted 3 weeks ago

If you're passionate about becoming a Nationwide associate and believe you have the potential to be something great, let's talk.

Number 54 on the Fortune Magazine 100 Best Places to Work.

  • Please note: the information contained above the asterisks is specific to this particular opening, while the information below the asterisks is the general, corporate job description for this position.



This individual will review, classify, compute, and process the routinely assigned policies through physical audits with members, agents and accountants for the basic lines of coverage to determine the individual risk exposures. S/he will conduct on-site, in person audits with insureds, accountants, and/or agents to obtain audit figures in order to determine the actual earned premium, and will handle the more general member and agent audit disputes by providing detailed audit classification and exposure analysis and explanations.

This is a work-from-home position involving heavy travel to standard commercial lines insureds' locations within the respective territory, typically 4-5 days per week. May also include virtual audits, depending on capacity and business need. Company car eligible.

Territory: Pittsburgh / Western Pennsylvania

Key duties include:

  • Conduct on-site visits of insureds, accountants, and proxies. Review and analyze policyholder operational and financial information necessary to properly classify risk, identify exposure, and compute the premium. Financial information may be obtained from a review of income tax returns, business financial statements, state unemployment records, quarterly state filings, etc.

  • Perform analysis of audit results to ensure accuracy and compliance with state and bureau requirements. When necessary, may travel as a Company representative with full authority for settlement in trials, arbitrations, settlement hearings and depositions pertaining to audit premium due.

The ideal candidate will have at least 5 years of experience in field premium audit. Experience working directly for the carrier and the APA designation are preferred.

Compensation Grade: E3

  • Gathers, negotiates and monitors vendor productivity of all audits within external collection. Performs most complex work which may involve on site audits with customer for some positions.

    Assists the manager in planning and organizing the unit workflow, projects and objectives on a daily basis. Provides technical, analytical and administrative support to staff. Assists the manager with the monitoring and coordination of the department's relationships and workflow with other units and customers.

Job Description

RELATIONSHIP: Reports to Supervisor/Manager

RESPONSIBILITIES:

  • Responds to audit problems for agents, policyholders and attorneys. Assist manager with the implementation of premium audit processes and procedures.

  • Analyzes and audits files to ensure accuracy and compliance with filings. Works with commercial underwriting as necessary to ensure the premium audit is completed timely and accurately as well as provides pertinent underwriting information to underwriting department. When necessary, travels as a Company representative with full authority for settlement in trials, arbitration's, settlement hearings and depositions pertaining to audit premium due.

  • Analyzes, processes and reviews financial audits completed by either voluntary audit forms submitted from the insured, telephone audit documentation completed by internal audit staff, physical audits completed by outside auditing firms, or by personally conducting on site audits at the customers location. Evaluates for correct classification, rates and applicable policy provisions. Analyzes, reviews and processes Additional Premium Endorsements which result in non-pay cancellation as a direct result of a mid-term audit, final audits on prior policies, inspections or routine endorsements processed during the policy term.

  • Reviews dispute information and certificates of insurance received from general agents, policyholders, or brokers contesting an audit after it has been sent out for billing. Analyzes the submitted information for relevance and appropriate documentation by interpreting financial statements, federal tax returns, workers compensation audits, quarterly reports and/or state unemployment records. Decides if dispute information is valid to warrant a revision up to pre-established authority.

  • Reviews all additional or return premium audits over a specified limit as a quality and quantity control measure. Verifies the reason the additional or return premium was generated and notifies underwriting department and agent of audit results.

  • Responsible for the training and education of new and current audit staff. Updates Audit unit about new products and programs. Completes staff's quality and quantity measurements for continuity of procedures and training of personnel in accordance with company and department guidelines.

  • Assists Premium Auditors with resolution of complex problems. Assists Manager with production goals, workflow guidelines and monthly report package of all current activity within the Premium Audit unit.

  • Special projects as assigned by management.

  • Performs other related duties as assigned.

EDUCATION: High School Education or GED required. Undergraduate degree in Business Administration with an emphasis in accounting/finance preferred.

CERTIFICATIONS: Completion of technical insurance courses such as IIA, and Technical Achievement Program (TAP) or progress towards technical insurance designations such as CPCU preferred.

EXPERIENCES: Five years related experience in Premium Audits and Accounting. Experience in leading premium audits and/or training audit associates preferred.

KNOWLEDGE: Knowledge of assigned line of business and agents receivables required.

Working knowledge of the regulatory climate in audits preferred. Knowledge of Bureau and Company rating coding systems, policy issuance procedures, Bureau rating manuals and circulars. Knowledge of insurance agency accounting and understanding of the accounting cycle. Knowledge of all Property/Casualty policies and all forms.

SKILLS/COMPETENCIES: Excellent verbal and written communication skills to interact with agents, attorneys, policyholders and other groups, displaying tact and diplomacy.

Ability to negotiate a positive resolution. Ability to accurately work with numbers; Ability to interpret and apply auditing rules and regulations per Company and Bureau guidelines.

FLSA: Not Eligible (Exempt).

WORKING CONDITIONS: Normal office environment.

Must be able to work outside of the normal workday including occasional weekends to meet deadlines and complete special projects. Must be able to handle a high volume and variety of work within deadlines; some out-of-state business travel.

ADA: The above statements cover what are generally believed to the principal and essential function of this job. Specific circumstances may allow or require some associated assigned to the job to perform a somewhat different combination of duties

Job Evaluation Activity: 9/10/10 JDC

Additional Job Description

#propertyandcasualty



icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Field Engineering Specialist Mansfield OH

Hoffmann-La Roche Inc.

Posted 7 days ago

VIEW JOBS 4/15/2019 12:00:00 AM 2019-07-14T00:00 Territory: Manfield, OH and surrounding areas Work Schedule: This individual must be willing to work Monday through Friday - 11AM to 8PM. Job Facts: This is an exciting time to join Roche Support Network. If you are passionate for problem solving then this is the position for you! As a research-focused healthcare company, Roche discovers, develops and provides innovative diagnostics and therapeutic products and services that deliver significant benefits to patients and healthcare professionals - from early detection and prevention of diseases to diagnostics, treatment and treatment monitoring. Roche is a successful company that can offer exciting career opportunities. We encourage and support your development in areas of your interest which will prepare you for the next level in your career path. We know that people are responsible for our success and we value our employees. Our commitment is to create a work environment where feeling valued, respected, and empowered is a daily experience. The Opportunity: The Roche Support Network group is committed to providing industry-defining support to its customers. As a Field Engineering Specialist, you will have the opportunity to travel and demonstrate your expertise as a technical repair and/or installation specialist for Roche assigned product lines, and provide valued service to your laboratory customers in an assigned territory. The Field Engineering Specialist, Clinical Chemistry in the Roche Support Network, position serves as a technical repair or installation specialist for Roche products for assigned product lines and geographies. The Roche FES also: * Provides routine technical support to customers on operational and maintenance aspects of system equipment * Performs on-site service, repair and/or installation of company products - This may include any aspect of field support and is not limited to mechanical/system hardware and software, networking/wireless networking * Serves as customer contact on routine technical and service related problems * Schedules and performs preventative maintenance per department policy * Monitors customer equipment performance and is able to respond and resolve most routine issues * Refers complex problems and issues to higher levels * Receives training and delivers service within the normal scope of the position * Follows documented practices, policies and procedures in providing repair and installation support * Diagnoses mechanical, hardware, software and system failure, using established procedures * Determines most cost effective repair/resolution to minimize customer downtime * Provides analysis, feedback and recommendations on product failure trends and service ability issues * Documents all activity in a manner compliant with company's quality procedures * Is responsible for maintaining and continuously improving the quality system and achieving quality objectives through daily actions * Is responsible for ensuring and maximizing customer satisfaction with Roche equipment and related products * Promotes effective, positive, and productive communication among team to ensure and maximize satisfaction of customer base * Manages customer accounts at a level that promotes goodwill, confidence and credibility in order to exceed customer expectations in terms of product, service, and support quality * Identifies revenue generating and cost saving opportunities, implements the Roche Diagnostics service agreement policy, and seeks out opportunities to market service contracts to existing customers * Maintains expenses within departmental guidelines and controls inventory and all company property Who you are: * High school diploma and 2 years of technical school or equivalent military training or equivalent work experience * 5 years of progressive experience repairing or servicing mechanical/system hardware and software, or networking/wireless networking * Successfully training or certification as defined by RD Services Leadership and policy * Advanced knowledge of electronics, electro-mechanical systems, and information technology * Ability to serve as an internal technical resource for lower level staff * Knowledge of basic chemistry * Ability to work after hours, provide weekend and holiday support on a rotated basis within an assigned territory and/or geographic region and be on call 24/7 during rotation * Good written/verbal communication, organization and prioritization skill * Effective customer service skills, which includes a positive attitude, helpful customer interaction, and maintenance of ongoing customer relationships Roche is an equal opportunity employer. Customer Support, Customer Support > Technical & Application Support Hoffmann-La Roche Inc. Ohio IL

Specialist, Premium Audit (Field Premium Auditor)

Nationwide