Premium Audit Reviewer II

Overview

A fully remote opportunity is available for a Premium Audit Reviewer II to join an insurance organization specializing in workers’ compensation and commercial insurance solutions. This role involves reviewing and evaluating premium audits for accuracy, completeness, and compliance with company guidelines and regulatory standards. The position requires collaboration with internal teams, agents, and policyholders to resolve discrepancies and support quality assurance initiatives.

Responsibilities

• Conduct quality and timely reviews of assigned audits, ensuring accuracy relative to regulatory guidelines and policy underwriting.
• Review the narrative portion of audits to verify correct business type/classification and policy accuracy.
• Analyze data submitted by auditors to confirm appropriate description categories, correct state rules application, and proper classification of employer jobs and employees.
• Return audits to auditors with recommendations for necessary corrections or revisions.
• Enter finalized audit information into the billing system to generate customer invoices.
• Determine accuracy of additional or return premiums in accordance with national/local regulations and corporate standards.
• Input audited exposures into rating systems for all lines of business and states, validate premium calculations, and bill final policy premiums.
• Refer pertinent information found during reviews to underwriting.
• Handle inquiries related to audit status, billing issues, and other audit-related questions.
• Collaborate with underwriters, field auditors, vendors, and internal teams to support corporate goals and provide excellent customer service.
• Provide administrative support for communication and handling of premium audits.
• Report Workers' Compensation statistical data in compliance with Independent and NCCI requirements.
• Maintain test audit results at or below state minimum standards.
• Develop strong relationships with the premium audit team and related business segments.
• Serve as a resource for underwriters regarding endorsements needed prior to processing and billing audits.
• Maintain working knowledge of state and regional guidelines, completing continuing education to stay current on premium auditing changes.
• May provide coaching, training, and guidance to new or subordinate employees.

Requirements

• High school diploma or equivalent required; bachelor’s degree in accounting, finance, or related field preferred.
• Minimum of 2 years of commercial insurance, premium audit review, or related experience, including multi-state accounts and multiple lines of business.
• Solid working knowledge of NCCI and Bureau workers compensation classification rules.
• Preferred 2+ years of prior Property & Casualty industry experience.
• Experience with General Liability, Umbrella, and Auto lines of business is a plus.
• Experience working with premium audit work management systems required.
• Strong analytical skills to review audits and ensure compliance with policies, procedures, and regulations.
• Sound business and technical acumen with ability to understand and apply independent and NCCI bureau regulations.
• Knowledge of various policy types including guaranteed costs, high deductible, loss retro-incurred, composite ratings, and group captives.
• Excellent verbal and written communication skills.
• Ability to identify and research needed information.
• Detail-oriented with solid typing and ten-key skills.
• Strong organizational and time management skills with ability to multitask and meet deadlines.
• Ability to work independently and collaboratively in a team environment.
• Spanish bilingual skills are a plus.

Compensation & Benefits

• Salary range: $52,000 to $83,000 annually, varying based on skills, experience, education, and location.
• Potential for an annual discretionary bonus in addition to base salary.
• Comprehensive benefits including medical, dental, vision, short-term and long-term disability, life insurance, health savings account, flexible spending account, and 401(k) plan.
• Basic Life Insurance and AD&D coverage at two times annual salary provided at no cost.
• Employee Assistance Program included.
• Paid Time Off accrual at 0.0769 hours per paid hour, totaling approximately 20 days per year.
• 10 paid holidays annually.

Location

• This is a fully remote position.