Premium Audit Lead — Field & Virtual Specialist

Blue Cross Blue Shield of Michigan; Detroit (MI); Remote; USD 65,000 - 108,000; Full time

Job summary

Blue Cross Blue Shield of Michigan is seeking a Premium Auditor to perform virtual and field audits, collect data, and determine policyholder premium liability. You will review payroll records and class codes, explain results to policyholders and agents, and assist with training and mentoring of staff.

This role requires travel within the market, strong knowledge of workers’ compensation rules, and the ability to conduct audits with accuracy and integrity.

Qualifications

• Bachelor’s degree in accounting, finance or related field. Combinations of relevant education and experience may be considered in lieu of a degree.
• Completion of APA designation or significant progress towards CPCU preferred.
• Continuous learning, as defined by the Company’s learning philosophy, is required.

Responsibilities

• Performs virtual and in person field audits.
• 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, and communicates completed audit information with contact and ensures results are understood.
• Contacts agents to discuss audit results prior to invoicing on large accounts.
• Provides information to policyholders in preparation for Workers Compensation audits.
• Reviews policy file information by referring to workers compensation manuals, class codes and rules, and prepares for audit in determining insureds’ correct operations.
• Notifies business unit of necessary changes in entities, officers, partners, etc. to ensure that policy is properly endorsed.
• Perform re-audits when disputes or discrepancies arise on original audit.
• May be required to testify in court regarding premium audits.
• Represent company at agent meetings to promote corporate product.
• Responsible for developing and conducting training programs.
• Responsible for providing mentoring to Premium Audit Consultants including ride-a-longs, one-on-one meetings, performance reviews, orientation and overall consultant development.
• Maintains confidentiality of information processed.
• Works with minimum supervision.

Skills

Workers' compensation codes

Policy documents interpretation

Communication skills

Training auditors

Presentation skills

Negotiation

Computer skills

Data analysis

Confidentiality

Travel readiness

Education

Bachelor’s degree in accounting/finance or related field

APA designation or CPCU preferred

Tools

Premium auditing software

Job description

Blue Cross Blue Shield of Michigan is seeking a Premium Auditor to perform virtual and field audits, collect data, and determine policyholder premium liability. You will review payroll records and class codes, explain results to policyholders and agents, and assist with training and mentoring of staff.

This role requires travel within the market, strong knowledge of workers’ compensation rules, and the ability to conduct audits with accuracy and integrity.