Audit Processing Specialist

EMPLOYERS; United States; Remote; Full time

Job summary

A leading company in workers' compensation insurance seeks an Audit Processing Specialist to join their remote team. This entry-level role involves conducting virtual audits, reviewing claims, and resolving disputes while providing excellent customer service. Ideal candidates will have organizational and communication skills and a basic understanding of accounting principles. Initial training will be provided, fostering career growth in premium auditing.

Qualifications

• 0-3 years of previous premium audit experience preferred.
• Demonstrate ability to work independently.
• Intermediate computer skills including spreadsheets and email.

Responsibilities

• Develop knowledge of manual rules and regulations for premium audits.
• Review claims for accuracy and compliance.
• Investigate discrepancies in payroll and classification data.

Skills

Strong organizational skills

Excellent communication skills

Attention to detail

Time management skills

Ability to research classifications

Basic accounting/bookkeeping knowledge

Education

2 years of college or equivalent combination of education and experience

Job description

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(Workers’ Compensation) | 100% Remote (WFH) Opportunity

General Summary

Under minimal supervision, the Premium Audit Processing Specialist is responsible for understanding and examining financial records and state manual rules and regulations to complete accurate virtual audits and determine true premium on insured’s Workers’ Compensation (work comp) policies. Additionally, they will work alongside other departments as subject matter experts, and work with our insureds to handle and resolve audit disputes. This position is provided training regarding state rules and regulations which will act as a foundation for a career in premium auditing.

Essential Duties And Responsibilities

• Develop a working knowledge of manual rules, state regulations and company standards and procedures to prepare and process final premium audits and revisions.
• Review claims: verify employment of major claims and correct class codes assigned in the claims operating system.
• Investigates disputes and discrepancies in payroll, classification data as well as communicating findings to the Supervisor or Manager as appropriate.
• Performs a high volume of premium audits each month to meet company production standards.
• Completes assigned workload within the established company KPI standards.
• Maintains excellent agency, policyholder, and interdepartmental relationships and communications. Educates agents and underwriters on correct classifications.
• Ability to research proper classifications within workers comp bureaus and guidelines.
• Performs clerical functions such as answering phones, emails, and audit inquiries in a timely manner to provide excellent customer service.
• Notify Underwriting, Claims, and Fraud department as appropriate.
• Endorse renewal policies as determined by audit findings.
• Other duties as assigned.
  
  

Requirements

• 0-3 years of previous premium audit experience applying either W.C.I.R.B., N.C.C.I. and other bureau rules and regulations or related experience preferred.
• Demonstrate the ability to work independently and prioritize tasks appropriately.
• Strong organizational skills.
• Highly efficient with excellent time management skills.
• Strong communication ability including excellent written, verbal, and presentation skills. Can succinctly convey complex information to others.
• Attention to detail to develop the ability of review, sort and accurately identify records relevant to the premium audit.
• Intermediate computer skills including ability to use spreadsheets, e-mail, and 10-key by touch.
• Ownership and accountability of output, decisions, and mistakes.
• Basic accounting/bookkeeping knowledge and mathematical aptitude.
• Equivalent combinations of education and experience may be considered.
  
  

Education

• 2 years of college and/or equivalent combination of education and experience will be considered.
  
  

Hourly Pay Rate: $21.00-22.00/hr and a comprehensive benefits package. Please follow the link to our benefits page for details! https://www.employers.com/careers/our-benefits-and-perks/

Work Environment

Remote: This role is remote, and only open to candidates currently located in the United States and able to work without sponsorship.

• It requires a suitable space that provides a private and quiet workplace.
• Expected Work Hours: Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed.
• Travel: May be required to travel to off-site location(s) to attend meetings, as necessary
  
  

EMPLOYERS is a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work! We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS!

Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. EMPLOYERS is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees.

We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. These are the pillars that support how we do business with our clients as well as how we treat each other!

At EMPLOYERS, you’ll discover an energetic environment that inspires top achievement. As “America’s small business insurance specialist”, we have the resources, a solid reputation, and an expanding nationwide identity to enrich your work/life and enhance your career.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  Insurance

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