Insurance Premium Auditor - Field and Remote (TX or MO or TN or OK)

Blue Cross Blue Shield of Michigan; Houston (TX); Remote; USD 52,000 - 88,000; Full time

Job summary

An established industry player is seeking a detail-oriented Field Premium Auditor to conduct virtual and field audits. This role involves analyzing financial data, ensuring compliance with insurance regulations, and collaborating with various teams to enhance operational efficiency. The ideal candidate will possess a strong background in workers' compensation insurance and demonstrate exceptional communication and analytical skills. Join a dynamic team that values innovation and fosters professional growth, where your contributions will directly impact policyholder experiences and business success. If you're ready to take on new challenges in a rewarding environment, this opportunity is perfect for you.

Qualifications

• Bachelor's degree in accounting, finance, or related field is required.
• Three years relevant insurance experience and two years in premium audit preferred.

Responsibilities

• Perform virtual and field audits to determine policyholder premium liability.
• Communicate audit results and maintain confidentiality of information.
• Work with minimum supervision and contribute to cross-functional teams.

Skills

Workers Compensation Insurance Knowledge

Mathematical Computations

Oral and Written Communication

Negotiation Skills

Analytical Skills

Confidentiality Maintenance

Multi-tasking

Independent Decision Making

Education

Bachelor's Degree in Accounting or Finance

Professional Designations (APA, IIA, AIU, CPCU, ARM)

Tools

Standard Company Software

Job description

AF Group’s affiliate brands provide innovative insurance solutions and exceptional customer experiences. Business Insurance has consistently ranked AF Group as one of the industry’s “Best Places to Work,” and we’re always looking for dedicated individuals to join our team. Let’s do amazing things together!

This position is a level II Field Premium Auditor residency in any of the following areas is required: Houston, TX, Memphis, TN, or anywhere in the states of OK or MO.

SUMMARY:

Responsible for performing virtual and field audits in a multi-functional business unit, within established authority levels. Reviews accounting and financial information necessary to determine appropriate exposures for policyholders’ employees and subcontractors.

RESPONSIBILITIES/TASKS:

• Performs virtual and field audits, within established authority level.
• Contacts agents to review audit results, prior to invoicing on large accounts.
• Collects all pertinent data and documents needed to calculate policyholder’s premium liability.
• Interviews policyholders to obtain further information concerning premiums; e.g., payroll and personnel records.
• Performs physical audits on multi-state accounts, as required.
• Communicates completed audit information with contact and ensures results are understood.
• Reviews policy information by referring to Workers Compensation manuals, class codes and rules and prepares for audit in determining insured’s correct operations.
• Notifies business unit of necessary changes in entities, officers, partners, etc. to ensure that policy is properly endorsed.
• Maintains confidentiality of information processed.
• Works with minimum supervision.
• Demonstrate progressive responsibility and technical knowledge applying principles based on experience.
• Work on complex problems which have broader impact.
• Independently resolve situations.
• Contribute effectively in cross-functional teams; may take on leadership role.
• Demonstrate proper collaboration in exchange of relevant elements with other disciplines (e.g., claims, underwriting).
• Develop recommendations to change existing policies/programs.
• Demonstrate well-developed conflict management/negotiation and presentation skills.
• Provide assistance with training, development and mentoring of premium audit staff.

This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.

EMPLOYMENT QUALIFICATIONS:

EDUCATION:

Bachelor’s degree in accounting, finance or related field. Combinations of relevant education and experience may be considered in lieu of a degree. Progress towards or completion of industry recognized professional designations (i.e. APA, IIA, AIU, CPCU, ARM) preferred. Continuous learning, as defined by the Company’s learning philosophy, is required. Certification or progress toward certification is highly preferred and encouraged.

EXPERIENCE:

With proper education credentials, three years relevant insurance experience which provides the necessary skills, knowledge and abilities. Two years Premium Audit experience.

SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:

• Ability to work effectively in a multi-functional business unit.
• Knowledge of workers compensation insurance including knowledge of occupational classification codes and rules.
• Ability to quickly and accurately work with many variables to arrive at premium calculations.
• Ability to read, analyze, and interpret policy documents, technical and financial information, and procedure manuals.
• Ability to initiate insurance transactions in compliance with all policies, procedures, legal and ethical guidelines.
• Ability to perform necessary mathematical computations.
• Ability and proficiency in the use of computers and company standard software specific to position.
• Excellent oral and written communication skills.
• Effective presentation skills in a variety of settings.
• Ability to negotiate while establishing a personal rapport and maintaining an effective working and client relationship, both internally and externally.
• Ability to maintain confidentiality.
• Ability to manage multiple priorities, establish workflows and meet necessary deadlines.
• Ability to work with minimum supervision.
• Ability to perform other assignments at locations outside the office.
• Knowledge of, and the ability to apply, relevant local, state and federal rules and regulations, including multiple state-specific workers’ disability compensation acts.
• Ability to assist with training, development and mentoring of premium audit staff.
• Ability to analyze and solve practical problems which deal with a variety of factors.
• Ability to make competent, independent decisions.
• Ability to understand and implement procedures and processes.

WORKING CONDITIONS:

Work is performed in an office environment or in the field with minimal hazards. Travel is required, with occasional overnight stays. Ability to lift and carry computer equipment weighing up to 35 lbs.

The qualifications listed above are intended to represent the minimum education, experience, skills, knowledge and ability levels associated with performing the duties and responsibilities contained in this job description.

Pay Range - Actual compensation decision relies on the consideration of internal equity, candidate’s skills and professional experience, geographic location, market, and other potential factors. It is not standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $52,535 and $87,900 (P2A)

We are an Equal Opportunity Employer. Diversity is valued and we will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract.