Premium Audit Analyst
2 weeks ago
The Premium Audit Analyst will actively engage in job training to acquire and develop a basic understanding of classification codes and premium audit manual rules for a single jurisdiction in order to complete final premium audits on assigned workers compensation policies. This individual will conduct final premium audits on small workers compensation policies containing few classification codes and states.
ESSENTIAL RESPONSIBILITIES
Successfully demonstrates understanding of foundational concepts of submission review policies and procedures, payroll examination and assignment of classification codes, and usage of applicable Bureau/State online/call center resources acquired through on-the-job training.
Reviews documentation submitted via customer portal. Proactively communicates with policyholders and agents as needed to gather necessary information, asking basic questions to verify classification codes and determine final payroll.
Identifies obvious issues and concerns and timely notifies Supervisor for review.
Summarizes audit findings utilizing company software, providing general descriptions to justify classification codes. Creates basic worksheets to verify final audited payroll.
Identifies discrepancies compared to pre-audit classification codes and states. Contacts internal/external stakeholders regarding unusual items and timely forwards to management for discussion and approval.
Conducts research on applicable Bureau websites and call centers as needed to complete the final audit. Becomes familiar with basic company protocols and workflows and references as needed.
Performs basic review of policy details. Works with Underwriting to ensure correct application of classification codes. Timely forwards discrepancies and concerns to Supervisor for review.
Processes final audit and revised final audit transactions on policies. Provides basic summary of audit development to justify AP/RP. Prepares to answer basic questions regarding development.
Correctly identifies and forwards disputes to resolution team.
Responds to basic inquiries regarding the premium audit process and standard Finance workflows. Forwards all other inquiries to Supervisor for review.
Becomes familiar with Company communication guidelines and standard operating procedures. Provides gold-standard service to internal and external stakeholders, timely responding to emails and phone calls, transferring inquiries as appropriate, and providing general assistance to all business partners.
Performs other related duties or special projects as assigned by leadership or as situation dictates.
REQUIRED QUALIFICATIONS
EDUCATION/EXPERIENCE : Bachelor's degree in Business, Statistics, Finance, or Accounting from four-year college or university; or, transferrable premium audit experience; or, sufficient combination of education and experience, required.
LANGUAGE : Able to read, analyze, and interpret general financial statements, business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports and professional business correspondence. Able to effectively respond to low level audit questions from management, internal and external stakeholders.
MATH ABILITY : Able to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Able to compute rate, ratio, and percent and to interpret bar graphs.
REASONING ABILITY : Able to solve practical problems and deal with a variety of variables in situations where only limited standardization exists. Able to interpret instructions furnished in written, oral, diagram, or schedule form.
COMPUTER SKILLS:
To perform this job successfully, an individual should have knowledge of Microsoft Office Suite software and able to be proficient in applicable databases, systems, and vendor software programs.
In accordance with the California Equal Pay Act, the starting hourly wage for this job is $28.8462. This hourly wage is what the employer reasonably expects to pay for the position based on potential employee qualifications, operational needs and other considerations consistent with applicable law. The pay scale applies only to this position and only if it is filled in California. The pay scale may be different for other positions or in other locations.
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