Supervisor, WC Premium Audit (Remote)

UPMC; Pittsburgh (Allegheny County); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated Supervisor for their Workers Compensation Premium Audit team. This full-time role offers the opportunity to lead a remote team, ensuring high-quality audit processes and fostering strong relationships with both internal and external stakeholders. You will be responsible for managing the audit staff, setting performance goals, and driving process improvements to enhance customer experience. If you are passionate about leadership and looking to make a significant impact in a dynamic environment, this position is perfect for you.

Qualifications

• Experience in managing teams and ensuring performance accountability.
• Strong understanding of Workers Compensation and audit processes.

Responsibilities

• Manage audit staff and coordinate operations related to Workers Compensation audits.
• Establish performance goals and monitor team performance.

Skills

Management Skills

Problem Solving

Communication Skills

Collaboration

Process Improvement

Education

Bachelor's Degree

Job description

UPMC Health Plan is hiring a full-time Supervisor, WC Premium Audit to support the Workers Comp Underwriting team. This role will predominantly work remotely and may reside anywhere within the continental US. Employee will be expected to work standard daylight hours EST.

This role reports to the Underwriting Support Manager. The individual will manage the audit staff and manages and coordinates operations as it relates to Workers Compensation premium audits.

Responsibilities:

1. Manages the work activities and has full management accountability for the performance and development of reporting staff in accordance with departments strategic direction.
2. Establishes and reviews performance goals including stretch goals and communicates progress, addressing issues that impact service provided by the team members.
3. Through collaboration with others, establishes and maintains strong working relationships with internal and external customers and assists subordinates in resolving high visibility problem cases or issues.
4. Acts with a sense of urgency and takes accountability for resolving issues.
5. Identifies process improvements within the Premium Audit Team as necessary to achieve the best customer experience possible.
6. Manages and monitors team performance against established targets.
7. Responsible for staying up to date on trends and developments within functional area of expertise as well as the insurance industry.
8. Responsible for facilitation and coordination of training initiatives within Premium Audit Team as necessary.
9. Responsible for monitoring and coordination of premium audit completion by Premium Audit Team and assuring timely receipt of audits from the audit vendor. This includes audit disputes sent to the audit vendor.
10. Respond to escalated audit specific questions including risk classification, class code application, state rules and other audit related inquiries from policyholders, brokers, and internal staff.
11. Provides status updates and reports out to management as necessary.
12. Monitors status and assists with all audit final disputes including communication to shareholders as necessary.
13. Audit vendor management – Manage vendor quality through audit reviews, manage time service expectations, manage parent notes with vendor, review vendor invoices, and other premium audit tasks as needed.
14. Manage state test audit program including, but not limited to, submitting files for test audit selections, submitting and managing rebuttal process for differences, regularly report out on status of test audit results.
15. Additional tasks related to the premium audit function.