Senior Premium Auditor | California

Overview

A remote opportunity is available for a Senior Premium Auditor specializing in Workers' Compensation, with preference given to candidates located in or near California. This role involves determining the premium base for assigned accounts by performing remote telephone premium audits, verifying operations, ascertaining proper classifications, and allocating payroll and subcontracted amounts according to home state manual rules, state regulations, and company standards. The position typically handles the most complex physical premium audits and is responsible for reconciling over $2.5 million in premium annually.

Responsibilities

• Prioritize and schedule assigned audits using independent judgment.
• Review audit case information and obtain required payroll and premium documentation from policyholders.
• Conduct remote telephone or on-site physical premium audits.
• Audit insured’s payroll records, financial statements, and tax records.
• Conduct entrance and exit interviews with policyholders to gather information and discuss audit results.
• Visually inspect worksites to validate classifications as appropriate.
• Analyze and review claims to verify employment, proper classification coding, and payroll allocation.
• Prepare comprehensive premium audit reports in compliance with company policies and standards.
• Report changes in policy information, financial condition, operations, or any factors affecting insurability.
• Complete assigned work within established quality and production standards.
• Respond promptly to audit questions and disputes.
• Regularly utilize internal systems to complete premium audits.
• Maintain expert knowledge of manual rules, state regulations, and company standards; stay updated on industry changes.
• Manage average inventory EAP (~$5.4M) and average policy size ($28K), understanding the consequences of errors.
• Mentor and train other auditors as assigned.
• Perform other duties as assigned.

Requirements

• Minimum 7 years of experience in workers’ compensation premium audit applying WCIRB, NCCI rules, or equivalent; Pennsylvania market experience preferred.
• Working knowledge of home state manual rules (WCIRB or NCCI) and applicable state exceptions.
• Valid state driver’s license with an acceptable driving record.
• Intermediate computer skills, including proficiency with spreadsheets, email, and 10-key by touch.
• Strong written and verbal communication skills to effectively convey complex information to policyholders, agents/brokers, and internal customers.
• Ability to interpret and comprehend various payroll and financial/business documents.
• Exceptional time management skills to handle workload and administrative tasks.
• Equivalent combinations of education and experience may be considered.

Certification

• Preferred certifications include APA, CPCU, or other relevant designations.

Education

• Bachelor’s degree in business, accounting, or related field, or equivalent experience or combination of education and experience.

Work Environment

• This is a remote work-from-home position available to candidates currently located in the United States who do not require sponsorship.
• Requires a private and quiet workspace.
• Work schedules are set to meet position and organizational needs and may be adjusted as necessary.
• Occasional travel to off-site locations for meetings may be required.

Compensation & Benefits

• Salary range: $60,000 - $92,000 annually.
• Comprehensive benefits package offered.