Premium Audit & Account Resolution Specialist

RSLI; New York (NY); On-site; USD 38,000 - 48,000; Full time

Job summary

RSLI in New York state is seeking a Premium Audit & Account Resolution Specialist to proactively review premium and account activity, identify discrepancies, and resolve issues within a portfolio of groups. The role collaborates with policyholders, brokers, and internal teams on complex premium matters and may support Special Projects within Premium Services.

The ideal candidate has NYS payroll and premium knowledge, 3+ years in premium audit or related insurance operations, strong analytical

Qualifications

• Strong analytical, research, and problem-solving skills.
• Effective written and verbal communication and relationship-building skills.
• Ability to travel up to 10%.

Responsibilities

• Reviews reports, premium activity, life counts, and account information to identify discrepancies, unusual activity, and groups requiring additional review.
• Manages an assigned portfolio of groups and follows identified issues through research, outreach, and resolution.
• Conducts detailed premium audits and account reviews to validate premium calculations, payments, rates, life counts, and other relevant information.
• Analyzes account history and supporting data to identify the cause of premium discrepancies and determine appropriate next steps.
• Researches and resolves complex premium issues, including underpayments, overpayments, missing premium, reporting discrepancies, and other account variances.
• Works directly with policyholders, brokers, agents, and internal business partners to obtain information, clarify discrepancies, and resolve account issues.
• Uses reports and available data to identify trends, issues, and accounts that may require additional review or follow-up.
• Maintains accurate documentation of audit findings, outreach, follow-up activities, and resolutions.
• Identifies recurring issues and opportunities to improve premium accuracy, account resolution, or related processes.
• Participates in special projects, analyses, and initiatives supporting Premium Services.
• Other duties as assigned.

Skills

Analytical skills

Research skills

Problem solving

Communication skills

Time management

Attention to detail

Travel ability

Being proactive

Tools

Excel

Word

Copilot

Job description

Job Responsibilities and Requirements

JOB SUMMARY

The Premium Audit & Account Resolution Specialist is responsible for proactively reviewing premium and account activity to identify discrepancies, potential premium leakage, and accounts requiring further attention. The role manages an assigned portfolio of groups, conducts detailed premium and account reviews, analyzes reporting and account data, and determines appropriate next steps to resolve identified issues. This position works closely with policyholders, brokers, agents, and internal business partners to research and resolve complex premium and account matters and participates in special projects supporting Premium Services.

RESPONSIBILITIES & QUALIFICATIONS

Key Responsibilities

• Reviews reports, premium activity, life counts, and account information to identify discrepancies, unusual activity, and groups requiring additional review.
• Manages an assigned portfolio of groups and follows identified issues through research, outreach, and resolution.
• Conducts detailed premium audits and account reviews to validate premium calculations, payments, rates, life counts, and other relevant information.
• Analyzes account history and supporting data to identify the cause of premium discrepancies and determine appropriate next steps.
• Researches and resolves complex premium issues, including underpayments, overpayments, missing premium, reporting discrepancies, and other account variances.
• Works directly with policyholders, brokers, agents, and internal business partners to obtain information, clarify discrepancies, and resolve account issues.
• Uses reports and available data to identify trends, issues, and accounts that may require additional review or follow-up.
• Maintains accurate documentation of audit findings, outreach, follow-up activities, and resolutions.
• Identifies recurring issues and opportunities to improve premium accuracy, account resolution, or related processes.
• Participates in special projects, analyses, and initiatives supporting Premium Services.
• Other duties as assigned.

Required Qualifications

• or equivalent experience gained from any combination of formal education, on-the-job training, and/or work and life experience
• Insurance industry experience, preferably with New York DBL/PFL.
• Typically, 3+ years of experience in premium audit, billing, collections, underwriting support, policy services, finance, or related insurance operations preferred.
• Knowledge of payroll, wage reporting, premium calculations, account reconciliation, and audit follow-up preferred.
• Familiarity with NYS-45 and similar census/data reporting, along with proficiency in Excel, Word, and Copilot.
• Strong analytical, research, and problem-solving skills, including the ability to review information, identify issues, and determine appropriate next steps.
• Strong organization, follow-up, documentation, time management, and attention to detail, with the ability to manage multiple open items through resolution.
• Effective written and verbal communication and relationship-building skills, including working with policyholders, agents, brokers, and internal business partners while maintaining accuracy, accountability, and customer service.
• Ability to Travel: Up to 10%

PHYSICAL REQUIREMENTS

When used in the description below, the following terms are defined as: "Occasional": done only from time to time, but necessary when it is performed; "Frequent": regularly performed; generally an act that is required on a daily basis; "Continuous": typically performed for the majority of an employee's shift.

Sitting for prolonged periods of time, frequently standing, walking distances up to one mile, bending, crouching, kneeling, reaching, occasionally lifting 25lbs, extensive typing, picking up and holding small objects, and otherwise using primarily the fingers rather than the entire hand. Employee is required to have visual acuity sufficient to perform activities such as preparing and analyzing data and figures; transcribing notes; viewing a computer terminal; and extensive reading. Employee is required to have hearing sufficient to understand verbal instruction and answer telephones. Reliance Matrix will provide qualified employees with a reasonable accommodation in accordance with applicable law.

The above description reflects the general details considered necessary to describe the principle responsibilities and functions of the job identified and shall not be construed as a detailed description of all the work requirements that may be inherent to this job.

The expected hiring range for this position is $27.88 - $34.85 hourly for work performed in the primary location (New York, NY). This expected hiring range covers only base pay and excludes any other compensation components such as commissions or incentive awards. The successful candidate's starting base pay will be based on several factors including work location, job-related skills, experience, qualifications, and market conditions. These ran