Premium Audit Operations Specialist I

Overview

This role supports accurate and compliant premium audit processing within the commercial insurance industry. Responsibilities include reviewing audit information, applying business and regulatory requirements, coordinating billing-related activities, and communicating audit outcomes clearly to help ensure financial accuracy and customer satisfaction.

Responsibilities

• Review and process audit worksheets to ensure compliance with business rules and regulatory requirements.
• Process audit adjustments and endorsements within established authority limits; escalate complex issues when necessary.
• Accurately classify risks using applicable classification systems across multiple jurisdictions.
• Communicate audit results and future policy changes clearly and professionally to insureds and agents.
• Proactively contact customers to communicate audit results before billing.
• Coordinate completed audits with billing operations and document applicable payment plans and agreements.
• Research and resolve audit discrepancies and customer inquiries.
• Provide feedback and recommendations to improve audit procedures, workflows, and documentation.
• Document best practices and contribute to process improvement initiatives.
• Manage multiple priorities and meet established deadlines while maintaining confidentiality.

Requirements

• Minimum of 1 year of experience as a premium auditor or audit reviewer.
• Knowledge and experience with Workers’ Compensation insurance.
• Familiarity with NCCI, WCIRB, PCRB, and DCRB rules preferred.
• Experience with standard premium audit operations.
• Proficiency with classification systems and audit software.
• Basic understanding of billing and payment processing.
• Ability to analyze payroll and accounting records accurately.
• Strong verbal and written communication skills.
• Professional demeanor and cultural sensitivity when interacting with customers and business partners.
• Strong attention to detail and ability to manage confidential information.

Preferred Qualifications

• Customer service experience in insurance or financial services.

Compensation & Benefits

• Base compensation range: $20.25–$24.00 USD per hour.
• Competitive cash compensation.
• Discretionary bonuses based on company performance.
• Comprehensive health plans.
• Generous paid time off.
• 401(k) retirement plan with employer matching.
• Paid parental and caregiver leave.

Equal Opportunity Statement

The organization is an equal opportunity employer and is committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.