Premium Auditor / Senior Premium Auditor - Virtual

Texas Mutual Insurance Company

Houston (TX)

Hybrid

USD 77,002 - 115,086

Full time

14 days+

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Benefits offered by this job

Annual performance bonus

Flex-hybrid work model

401(k) plan with employer match

Life and disability insurance

Paid holidays

Job summary

Texas Mutual Insurance Company is seeking a Senior Premium Audit professional to determine true earned premiums for policyholders, performing on-site reviews and interviews. You will analyze financial reconciliations and payroll data, classify jobs, and calculate appropriate premiums in line with Texas regulations.

The role emphasizes on-site collaboration, professional communication with policyholders and agents, and potential fraud detection.

Qualifications

Bachelor’s degree or equivalent education, training and experience.
At least two years’ premium audit experience or equivalent education, training and experience for non-senior role and at least four years of premium audit experience for senior role.
Knowledge of underwriting principles and procedures, the NCCI Basic Manual of rules and Texas labor codes.

Responsibilities

Determine the policyholder’s true earned workers' compensation premium by conducting audits and interviews on-site.
Analyze the policyholder’s financial reconciliations to ensure accuracy.
Compare payroll records with estimated or actual payroll reported.
Determine appropriate job classification codes by reviewing workforce and interviewing the policyholder.
Reconcile codes with reported data and adjust premium accordingly.
Assess scope of operations and apply IRS rulings and workers' compensation statutes to determine true independent contractor status.
Apply the Texas Basic Manual Rules and rates to determine proper premium basis.
Provide professional explanations to policyholders and agents regarding correct classifications.
Identify potential premium fraud and forward referrals to Investigations.
Support underwriting and safety services with analysis of operations and financial structure.

Skills

Audit analysis

Policyholder interviews

Premium calculation

Communication

Spanish (bilingual)

Education

Bachelor’s degree or equivalent

CPCU or Associate in Premium Audit

Job description

We’re excited you’re considering joining a great place to work! Texas Mutual is deeply committed to creating and maintaining an environment of mutual respect and is proud to be an equal opportunity employer. All qualified applicants are encouraged to apply and will receive consideration for employment without regard to age, race, color, national origin, religion, sex, gender identity, sexual orientation, genetic information, veteran status, or any other basis protected by local, state, or federal law.

About This Position

At Texas Mutual, we are proud to create a stronger, safer Texas. That means helping injured workers return to a productive life, empowering businesses to thrive, and giving back to our communities. The Premium Audit team plays a major role in these efforts by determining the final premium for our policyholders at the conclusion of each policy term.

Responsibilities & Qualifications

In this role, you can expect to:

Determine the policyholder’s true earned workers' compensation premium. You will conduct reviews, interviews and audits, on the policyholder’s premises.
Analyze the policyholder’s financial reconciliations to ensure they match.
Compare the policyholder’s payroll records with the estimated or actual payroll reported.
Determine the appropriate job classification codes for the policyholder's employees by reviewing the workforce and interviewing the policyholder.
Reconcile the appropriate job classification code with the code reported and adjusting premium accordingly.
Determine scope of operations by reviewing contracts between the policyholder and other entities and applying IRS revenue rulings and workers' compensation statutes and rules to determine whether a true independent contractor relationship exists versus common law employee status.
Apply the Texas Basic Manual Rules, Classifications and Rates for Workers' Compensation to the information obtained from the audit to determine the proper premium basis.

Provide professional and technical explanations to policyholders and agents concerning proper classifications as to the policyholder's operations, to include:

Communicating information in a highly professional manner both verbally and in writing to policyholders, agents and other customers (both internal and external).
Recommending proper accounting procedures to policyholders.
Identifying potential premium fraud by policyholders and forwarding fraud referrals to the Special Investigations Department.
Contributing to the effectiveness of Underwriting and Safety Services by conveying physical, financial and other pertinent information gained or determined by analysis of the policyholder's operations and financial structure.

In The Senior Role, You Can Also Expect To

Provide advanced premium audit expertise to staff, management, policyholders, and agents by:
- Training staff, policyholders, and agents on auditing as requested.
- Serving as a subject matter expert on projects and process discussions.
- Recommending and documenting premium audit procedures.
- Assisting management in coordinating departmental workflow, staff, and resources.
- Consulting on complex premium audit matters.

The Successful Candidate Must Have

Bachelor’s degree or equivalent education, training and experience.
At least two years’ premium audit experience or equivalent education, training and experience for non-senior role and at least four years of premium audit experience for senior role.
Knowledge of underwriting principles and procedures, the NCCI Basic Manual of rules and Texas labor codes.
Valid Texas driver’s license.

It Would Be Great To Have

CPCU or Associate in Premium Audit designation.
Bilingual proficiency in Spanish.

Texas Mutual Pay Transparency

Base Pay Range: $37.02 - $55.33 Per Hour

Your recruiter can discuss the full value of our total compensation package with you, including our generous bonus plans and flex-hybrid work model.

Flex-Hybrid Work Environment

Texas Mutual’s flex-hybrid schedule allows you to bring your best self to work by working remotely and collaborating in the office based on business needs. All Texas Mutual employees are required to have Texas residency and travel to their designated office as needed.

Our Benefits