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Senior Premium Auditor - Workers' Compensation
Method Workers Compensation LLC Lewisville, TX

Senior Premium Auditor - Workers' Compensation

Method Workers Compensation LLC
Lewisville, TX
Expired: over a month ago Applications are no longer accepted.
  • Medical , Retirement
  • Full-Time
Job Description
Description:

Who We Are


Method Workers’ Compensation is a portfolio of workers’ comp companies with the same mission: minimizing the human and financial cost of workplace injuries. We mitigate workplace injuries and deliver exceptional healthcare outcomes for injured workers, expediting a return to work, preserving families’ livelihoods, and enhancing employers’ productivity. We maintain in-house expertise in claims management, medical bill review, underwriting, and loss prevention for high-hazard, high-mod, and mid-market risks. From submission to claim, we’re there every step of the way, improving outcomes for everyone involved. Method currently operates in all states.


What To Expect


As part of the Insurance Services team, the primary responsibility of the Senior Premium Auditor is to conducting premium audits on property & casualty commercial lines policies to establish appropriate classifications, exposures, and basis of premium in accordance with company, industry and government rules and regulations. This position will focus primarily on workers compensation, this role works closely with the third-party audit service provider, billing vendors, and policy administration systems and could expand into additional lines in the future. This is a full-time, salaried exempt position with standard business hours of Monday through Friday from 8:00am to 5:00pm, with some flexibility at manager’s discretion.


What You’ll Do

  • Conducts audits of workers’ compensation policies with minimal oversight by evaluating the insured's business operation through examining, verifying, and recording pertinent classification-related data from financial/business records.
  • Review and summarize submitted information from insureds to determine correct exposures for all classifications by reviewing federal and state part payroll reports, financial statements, and other payroll and sales reporting documents.
  • Review dispute information received from agents or insureds who contest audit results, analyze the submitted information for relevance and appropriate documentation by interpreting financial statements, federal tax returns, general ledgers and vendor reports, quarterly reports, and state unemployment records; deciding if submitted information is valid to warrant a revision, and communicating directly with insured and their representatives to resolve audit disputes and premium due.
  • Communicate with all internal and external customers regarding exposures, classification changes, or general auditing procedure questions pertaining to premium audits.
  • Utilizes laptop computer to record audit information and transmit completed audits in a timely manner.
  • Remains informed of changes and current information relative to premium auditing through discussion and correspondence with experts and industry-related literature.
  • Adhere to all SOP’s and complete audits in compliance with all company, industry, and government rules and regulations.
  • Identify, research, and resolve any audit discrepancies and disputes with our policyholders, agents, and third-party vendor.
  • Exercise discretion and independent judgment in the reviewing and analyzing of the results of the third-party vendor’s audit exposure worksheets and initiates further action with underwriting, producers, or premium audit leadership as necessary.
  • Monitor timely completion of policy premium audits by working closely with the third-party audit vendor as well as policyholders.
  • Show an in-depth understanding of premium, payroll records, class code exposures, and the audit process.
  • Utilize platforms such as NCCI and/or State Bureau websites for premium audit manual rules, bulletins, and classification research.
  • Maintain and work to improve the premium audit process by performing the following duties: providing customer service support, working with third-party premium auditors, reviewing and entering audit invoices, and other general duties as assigned and necessary.
  • Monitor, document, and respond to internal/external audit inquiries.
  • Monitor, document, and coordinate the audit dispute process.
  • Identify workflow and service enhancements that increase efficiency and overall satisfaction throughout the lifecycle of the premium audit process.
  • Identify issues discovered during the premium audit and coordinate appropriate action with underwriting, billing, agents, and policyholders through audit alerts.
  • Enter policy audit results into the policy management system and generate audit invoices.
  • Ensure that necessary policy changes uncovered during the audit process are endorsed to current and past terms in consultation with the underwriting team.
  • Perform general administrative functions required in the audit process.
  • Provide reporting and other metrics to management around the premium audit process.
  • Perform other duties as assigned.
Requirements:

What You Need

  • Knowledgeable about bureau test audit requirements
  • Capable of independent research and analysis
  • Possess extensive knowledge of NCCI Workers Compensation and other independent Bureaus rules, manuals and practices
  • Strong work ethic and positive attitude
  • Perseveres in a growing, changing, and dynamic work environment
  • Strong customer orientation
  • Strong verbal and written communication skills
  • Familiar with a variety of financial records from various software and payroll providers (ADP, Quick Books, Sage, Paylocity, etc.)
  • Proficient in Microsoft Office Suite, G Suite, Adobe Acrobat, Agency and Policy Document Management software, or similar software.
  • Comprehension of a task-based workflow system to manage prospective and current customers and accounts
  • Workers’ compensation or insurance experience is required
  • At least 3- of relevant experience working in business, finance, and audit
  • Ability to travel up to 5% of the time


Preferred Experience

  • Bachelor’s degree in Accounting, Business Administration, Finance, or related field experience preferred
  • A combination of education and experience may be accepted


What We Offer:


In exchange for your time and expertise, we offer competitive compensation, 401(k) plus matching, health benefits (including HSA Contribution), paid disability, paid parental leave, professional development opportunities, and a hybrid/remote work environment. This is an opportunity to play a key role in the continued success of a growing organization.


Unless fully remote, this position operates in a professional office setting and routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines. This is largely a sedentary role with prolonged periods of sitting at a desk and working on a computer. However, some filing is necessary and may require the ability to lift files, open filing cabinets and bend or stand on a stool as necessary.


Method Workers’ Compensation is an equal opportunity employer regardless of race, color, gender, age, sexual orientation, gender identity, gender expression, religious beliefs, marital status, genetic information, national origin, disability, protected veteran status, or any other basis protected by federal, state, or local law.

Address

Method Workers Compensation LLC

1825 Lakeway Dr

Lewisville, TX
75057 USA

Industry

Finance and Insurance

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