Insurance Premium Auditor Specialist-Workers' Compensation

SFM - The Work Comp Experts; Minneapolis (MN); Hybrid; USD 68.000 - 95.000; Vollzeit

Benefits dieser Stelle

Hybrid work environment

401(k) with company match

PTO and holidays

Disability coverage

Employee engagement programs

Zusammenfassung

SFM - The Work Comp Experts in Minnesota seeks a Premium Auditor Specialist to conduct complex workers' compensation premium audits, focusing on midmarket to large market policy sizes. You’ll review payroll and business records, true up policies annually, and communicate findings via formal reports.

Most audits are virtual; a hybrid model with some in-office time is required. The role demands strong analytical skills, advanced auditing experience, and excellent customer service.

Qualifikationen

• Bachelor degree or combination of education and experience acceptable.
• Five or more years’ experience reviewing and processing premium audits in an accounting or insurance environment.
• Insurance designation earned or in progress (e.g., CPCU, APA) preferred.
• Excellent customer service and negotiating skills.

Aufgaben

• Conduct premium audits to determine coverages and exposures; review documents to set the premium base.
• Determine exposures and develop the proper basis of premium per rules and company best practices.
• Summarize exposure information and communicate audit results to policyholders and agents.
• Provide technical explanations on classifications and advise on account procedures when changes are needed.
• Respond to disputes, revise audits, and prepare amended audits for billing.
• Provide high quality service by handling inquiries related to premium billing and audits.
• Prepare audit reports showing data, calculations, classifications, logs, and documentation.
• Research and analyze results to achieve premium audit success following industry best practices.

Kenntnisse

Customer service

Auditing

Communication

Analytical

Time management

Ausbildung

Bachelor's degree in Accounting, Business, Finance or Insurance

Jobbeschreibung

Pay

$67,724.00 to $94,814.00

Ranked #8 Top Workplace

Midsize Employer, MN

About the Role

The Premium Auditor Specialist is responsible for conducting premium audits on worker’s compensation insurance policies to ensure that the insurance premiums our policyholders are paying are correct. You will focus on more complex audits handling midmarket to large market premium size. You will review payroll records and other business records to true up the policy on an annual basis. Audits are done electronically; verifying policyholder’s operations and financial records to ensure exposures are accurately calculated for the insurance premium. Communicating the audit findings through detailed formal reports is a key function of this position as is working on special projects. Excellent customer service skills are needed as you will be contacting policyholders via email and or phone, and you must have effective communication and analytical skills. Most audits are done in a virtual setting, so you will obtain the information electronically. Hybrid work is offered, and some in office time is needed. Applicants will need to live in Minnesota.

What You’ll Do

• Conducts Premium Audits to determine specific coverages and exposures provided by the policy and plan audit strategy electronically, or onsite when need and reviews documents from the policyholder to determine the premium base.
• Determines exposures that need to be covered and develops proper basis of premium in accordance with MWCIA, NCCI, WCRB, state-applicable rules, contract requirements, and Company best practices. Uses financial documents provided by the policyholder to match audited payrolls and works to establish the appropriate job classification codes for the policyholder’s employees. Adheres to audit rules as set forth by the Basic Manual, NCCI or state statutes.
• Summarizes all exposure information in accordance with policy contract, terms, MWCIA, MWCARP, NCCI, WCRB requirements, state-applicable rules, and Company best practices. Communicates audit results to the policyholder and reconciles any differences.
• Provides professional and technical explanations to policyholders and agents concerning proper classifications as to the policyholder’s operations and makes recommendations as to proper account procedures when appropriate to policyholders when changes are necessary.
• Responds to and resolves audit disputes and makes appropriate changes to revise audits as needed; Compiles pertinent facts related to disputes, documents and communicates the results of the analysis, and prepares amended audits and submit for billing. Resolves test audits disputes for non-National Council on Compensation Insurance (NCCI) states.
• Provides high quality customer service to agents and policyholders by professionally receiving and appropriately responding to telephone inquiries related to premium billing and premium audits. Maintains appropriate interactions with both internal and external customers.
• Prepares audit reports utilizing internal systems and technologies, showing analyzed data, calculations, classifications, activity logs, and other required documentation in an accurate and readable form on a timely basis.
• Conducts research, prepares reports and analyzes results, as needed, to achieve premium audit success, while following industry best practices.

What We’ll Like About You

• Bachelor Degree in Accounting, Business Management, Finance, Insurance or similar field; or combination of education and experience is acceptable.
• Five or more years’ experience reviewing and processing premium audits in an accounting or insurance environment; workers compensation audit experience highly desirable.
• Insurance designation earned or in progress such as CPCU, APA, preferred
• Excellent customer service and negotiating skills.
• Strong working knowledge of the audit process for commercial or workers’ compensation policies.
• Strong math and accounting skills with analytical capabilities.
• Ability to identify routine sources of premium audit information.
• Firm understanding of MWCIA, NCCI, WCRB and state applicable rules.
• Strong communication skills, both oral and written.
• Excellent organization and time management skills
• Must be in office when needed.

Why You’ll Love Working Here

• We want your work life to feel balanced, rewarding, and supported. Here are just a few of the benefits SFM offers:
• Comprehensive medical, dental, and vision coverage (plus HSA/FSA options).
• Significant Cash Benefit if You Opt Out of Our Health Plan
• Flexible hybrid work environment.
• 401(k) with both Traditional and Roth options + company match.
• Contributions toward student loan repayment.
• Generous PTO, 9 paid holidays, and paid parental leave.
• Monthly home internet allowance.
• Free life insurance, short-term & long-term disability coverage.
• Incentive bonus opportunities.
• Adoption financial assistance.
• Pet insurance.
• Annual company-wide volunteer day.
• Discounts on gyms, fitness apps, and wellness programs.

Who We Are

SFM is the leading workers’ compensation insurer in Minnesota, with a growing presence across the Midwest. We’re proud to be recognized as a Top Workplace (#8 midsize employer in MN) thanks to our supportive culture, commitment to our employees, and focus on doing what’s right. Learn more by clickinghere.

Work Environment and Physical Demands

Regular attendance is required. Work takes place in a semi paperless environment within an office setting, either on business premises or other remote location, using standard office equipment such as computers, phones, and copiers, which requires being stationary for extended periods of time. While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands and fingers, handle or feel; and reach with hands and arms and work with close vision. This position requires the ability to occasionally lift office products and supplies, up to 20 pounds. Work is performed indoors with little to no exposure to extreme outdoor weather conditions.

Equal Opportunity

SFM Mutual Insurance Company and each of its parent companies, subsidiaries and/or affiliated companies are Equal Opportunity/Affirmative Action Employers. SFM provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, status with regard to public assistance, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

SFM Companies, EEO/AA Employers

SFM is a participant of E-Verify.

Applicant Rights

Applicants have rights under Federal Employment Laws.

Equal Opportunity Employer

Legal Notice

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Location

Bloomington, Minnesota (Hybrid) | Full-Time