Sr. Premium Auditor

Overview

This role involves planning and conducting final or service audits of voluntary policyholder business records to support accurate and timely determination of earned premium through proper classification and measurement of insurance risk exposures for the policy period.

Preference is to have the selected candidate working out of the state of California.

Responsibilities

• Plan and conduct timely service audits with new policyholders to analyze risk exposure and identify policyholder service requirements.
• Perform audits of claims filed during the policy period to verify claimant employment at the time of injury and ensure proper classification of the claim(s).
• Review and process service audits and final audits received from staff and contract auditors to ensure correct analysis of risk exposure and timely determination of earned premium.
• Serve as a liaison between policyholder, broker, and appropriate internal departments to review and resolve audit disputes.
• Cultivate effective partner relationships internally and externally to fulfill client expectations while addressing business needs in a timely and efficient manner.
• Provide consultation and technical assistance to finance, underwriting, marketing, producers, and policyholders.
• Stay current on state board and bureau decisions.
• Maintain current knowledge of rules and regulations applicable to jurisdictions and ensure correct and consistent application.
• Identify issues to be communicated and socialize audit information to appropriate stakeholders (e.g., Central Processing, Distribution, Underwriting, Agent/Broker, etc.) to elaborate on current risk conditions or initiate necessary changes to the policy contract.
• Schedule audit appointments with policyholders, considering assignment priority and location within the assigned territory, with minimal oversight.
• Manage workload effectively through efficient time utilization, including managing work-in-process and documenting progress for relevant stakeholders/management.
• Provide guidance and assistance to lower-level positions and may assist with training new employees.
• Perform other duties as assigned.

Requirements

• Proficient in MS Office software applications.
• General business knowledge and understanding of insurance products needed to provide value-added service.
• Ability to learn and articulate underwriting philosophy and practices.
• Business background with knowledge of basic accounting concepts.
• Bachelor’s Degree in a related field or equivalent work experience.
• 5 years related experience.
• Experience working out of a home office.
• Experience completing home-office based work with some audits potentially conducted in person at client request.

Preferred Qualifications

• APA or CPCU designation.

Compensation & Benefits

• Expected pay range: $90,000 - $100,000.
• The specific offer will depend on skills and experience.
• The disclosed pay range estimate may be adjusted for applicable geographic differential for the location where the position is filled.

Benefits include:

• Medical, dental, vision, and life insurance
• Short- and long-term disability
• 401(k) plan with a 100% company match of a 6% contribution
• Employee Assistance Plan
• Health Savings Account, Flexible Spending Account, Health Reimbursement Account
• Wellness program

Location

• Remote role covering all US states.
• While most audits are completed from the auditor’s home office, some clients may request in-person audits.
• Preference for a candidate working out of the state of California.

Work Authorization

Applicants must be authorized to work for any employer in the U.S. Sponsorship or work authorization takeover is not available for this position now or in the future.