Premium Auditor- Serving Farmington and Gallup, NM

New Mexico Mutual; Albuquerque (NM); Hybrid; USD 60,000 - 85,000; Full time

Job summary

New Mexico Mutual is seeking a dedicated Premium Auditor to conduct workers' compensation audits both remotely and at insured locations or partner accounting firms. You will review operations, classifications, and exposure to ensure accurate premium billing while supporting internal departments with NCCI rule guidance.

The role requires strong mathematical, analytical, and communication skills, travel readiness, and the ability to work independently within a supportive team environment.

Qualifications

• High school diploma or equivalency; bachelor’s degree preferred.
• Minimum of 1 year of workers compensation or premium audit experience; 2+ years preferred.
• Attention to detail and accuracy in audit work papers and reports.
• Strong analytical and problem-solving skills; ability to interpret NCCI rules and classifications.
• Excellent written and verbal communication; ability to explain audit findings clearly.
• Excellent organizational and time-management abilities; prioritize audits by age, size and type.
• Must be able to travel; valid driver's license and vehicle for field work.

Responsibilities

• Schedule and conduct audits of policies remotely and at insured locations.
• Review operations, exposures, classifications, and NCCI rules.
• Prepare audit reports and summaries with supporting documentation.
• Verify billing accuracy against policy provisions and audit reports.
• Resolve disputed audit inquiries with policyholders and agents.
• Archive audit documents in Nexus OnBase or Nexus Audit Systems.
• Work independently and seek guidance for unusual issues.
• Provide superior customer service to insureds, agents, underwriters, and other teams.

Skills

Attention to detail

Analytical thinking

Math calculations

Written communication

Verbal communication

Organization

Time management

Customer service

Urgency/completing tasks

Problem solving

Education

Bachelor's degree in Business Administration/Accounting or related field

High school diploma or equivalency

Tools

Microsoft Office

Job description

Description

Job Title: Premium Auditor

Department: Premium Audit

Reports to: Premium Audit Manager

Position Summary

The Premium Auditor is responsible for conducting workers compensation premium audits both remotely and at the insured’s location or independent accounting firm in a timely and cost-effective manner. This position also serves as a professional resource to other departments on Workers Compensation and National Council on Compensation Insurance (NCCI) rules, regulations, and classifications.

Essential Functions

• Schedule and conduct audits of selected policies by obtaining records both remotely and by traveling to insured’s location of records to examine, verify, and record pertinent data from final records to determine proper premium basis and classification.
• Review policyholder operations to include business ownership, change of exposure, claims, NCCI classifications and application of NCCI Rules.
• Summarize information from audit work papers and prepare complete and accurate audit reports for submission.
• Review premium audit summaries by comparing information on audit work papers against policy provisions to ensure accuracy of final audit billings.
• Analyze and conclude disputed audit inquiries from policyholders and agents.
• Utilize exceptional organization skills to prioritize and process assignments by age, size, and type of audit.
• Ability to apply principles of logical thinking to define problems, collect data, establish facts, and draw valid conclusions.
• Provide excellent customer service to assist Insureds, Agents, Underwriters, Marketing, Claims, and other service personnel in understanding the audit process through explanation of audit procedures.
• Upload audit documents into the Nexus Audit system and/or the OnBase Imaging system.
• Ability to work independently but seek guidance to resolve issues or unusual circumstances.
• Performs other duties as assigned.

Requirements

Job Qualifications

Education

High school diploma or equivalency. Bachelor’s degree in Business Administration, Accounting, or related field preferred.

Experience

Minimum of one year of experience in Workers Compensation insurance or Premium Audit. Two+ years of experience in Workers Compensation insurance or Premium Audit preferred.

Required Skills/Abilities

• Attention to detail and accuracy.
• Strong analytical and problem-solving skills.
• Math skills for performing calculations on data such as payroll, premiums and audit transactions.
• Strong written and verbal skills with ability to clearly communicate premium audit findings or results.
• Organization skills are a must including time management and ability to prioritize work.
• Strong sense of urgency to complete tasks in a timely manner.
• Proven ability to build and maintain positive working relationships internally and externally.
• Ability to conduct business professionally and positively, including acceptance of direction and feedback.
• Ability to maintain composure during difficult or challenging situations.
• Must have a vehicle for field travel (mileage reimbursed at government rate), a valid driver's license, and insurance.
• Ability to travel within assigned territory.

Specialized Knowledge, Licenses, etc.:

Microsoft Office (Word, Excel, PowerPoint, Outlook)

Values and Mission:

Adheres to values and mission by demonstrating Service Excellence, Trust, Ownership, One Team and Boldness in thought and action.

Positive Attitude:

Develops and maintains positive working relationships with team members, customers, co-workers and management by demonstrating effective communication and collaborative skills.

Working Conditions:

• NEW MEXICO MUTUAL maintains general office conditions with light physical demands. May be required to lift up to 10-15 lbs.
• Employees of NEW MEXICO MUTUAL adhere to all safety rules and regulations including building security.
• Employees participate in ensuring safe and efficient operating conditions that safeguard employees and facilities.
• NEW MEXICO MUTUAL maintains a drug free environment; drug testing prior to employment as well as upon a work related accident.
• Exposure to VDT screens.
• This position requires regular driving on company business and requires that the employee maintain a satisfactory driving record, a valid driver's license, proof of in-force automobile insurance coverage and authorization and release of driving records to permit the company to check the individual's driving record, at the time of hire and periodically thereafter, as a condition of employment.