Remote Inpatient Coding Auditor Jobs in Michigan

Job Description
At AF Group, our affiliate brands deliver innovative insurance solutions and exceptional customer experiences. Consistently recognized by Business Insurance as one of the industry's "Best Places to Work," we are proud of our culture and the talented people who make it possible. Join us-and let's do amazing things together.
This Level II Field Premium Auditor position is a residency-based role located in Central or Northern California.
SUMMARY:
Responsible for performing both virtual and field premium audits within a multi-functional business unit, with a primary focus on Workers' Compensation and General Liability policies, and operating within established authority levels. Reviews accounting and financial records to accurately determine exposure and premium for policyholders' employees and subcontractors.
RESPONSIBILITIES/TASKS:

• Performs virtual and field audits, within established authority level.
• Contacts agents to review audit results, prior to invoicing on large accounts.
• 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.
• Performs physical audits on multi-state accounts, as required.
• Communicates completed audit information with contact and ensures results are understood.
• Reviews policy information by referring to Workers Compensation manuals, class codes and rules and prepares for audit in determining insured's correct operations.
• Notifies business unit of necessary changes in entities, officers, partners, etc. to ensure that policy is properly endorsed.
• Maintains confidentiality of information processed.
• Works with minimum supervision.
• Demonstrate progressive responsibility and technical knowledge applying principles based on experience.
• Work on complex problems which have broader impact.
• Independently resolve situations.
• Contribute effectively in cross functional teams; may take on leadership role.
• Demonstrate proper collaboration in exchange of relevant elements with other disciplines (e.g., claims, underwriting).
• Develop recommendations to change existing policies/programs.
• Demonstrate well-developed conflict management/negotiation and presentation skills.
• Provide assistance with training, development and mentoring of premium audit staff.

This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.
EMPLOYMENT QUALIFICATIONS:
EDUCATION:
Bachelor's degree in accounting, finance or related field. Combinations of relevant education and experience may be considered in lieu of a degree. Progress towards or completion of industry recognized professional designations (i.e. APA, IIA, AIU, CPCU, ARM) preferred. Continuous learning, as defined by the Company's learning philosophy, is required. Certification or progress toward certification is highly preferred and encouraged.
EXPERIENCE:
With proper education credentials, three years relevant insurance experience which provides the necessary skills, knowledge and abilities. Two years Premium Audit experience.
SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:

• Ability to work effectively in a multi functional business unit.
• Knowledge of workers compensation insurance including knowledge of occupational classification codes and rules.
• Ability to quickly and accurately work with many variables to arrive at premium calculations.
• Ability to read, analyze, and interpret policy documents, technical and financial information, and procedure manuals.
• Ability to initiate insurance transactions in compliance with all policies, procedures, legal and ethical guidelines.
• Ability to perform necessary mathematical computations.
• Ability and proficiency in the use of computers and company standard software specific to position.
• Excellent oral and written communication skills.
• Effective presentation skills in a variety of settings.
• Ability to negotiate while establishing a personal rapport and maintaining an effective working and client relationship, both internally and externally.
• Ability to maintain confidentiality.
• Ability to manage multiple priorities, establish workflows and meet necessary deadlines.
• Ability to work with minimum supervision.
• Ability to perform other assignments at locations outside the office.
• Knowledge of, and the ability to apply, relevant local, state and federal rules and regulations, including multiple state-specific workers' disability compensation acts.
• Ability to assist with training, development and mentoring of premium audit staff.
• Ability to analyze and solve practical problems which deal with a variety of factors.
• Ability to make competent, independent decisions.
• Ability to understand and implement procedures and processes.

WORKING CONDITIONS:
Work is performed in a virtual/home office environment or in the field with minimal hazards. Travel is required, with occasional overnight stays. Must possess a valid driver's license with a record that meets corporate standards. Ability to lift and carry computer equipment weighing up to 35 lbs.
The qualifications listed above are intended to represent the minimum education, experience, skills, knowledge and ability levels associated with performing the duties and responsibilities contained in this job description.
Pay Range - Actual compensation decision relies on the consideration of internal equity, candidate's skills and professional experience, geographic location, market, and other potential factors. It is not standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $71,000 and $119,570 (P2A)
We are an Equal Opportunity Employer. We will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract.
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