Senior Premium Audit Specialist
Senior Premium Audit Specialist
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Job Description
KEY OBJECTIVE
The Premium Audit Specialist is responsible for the timely and accurate servicing on assigned Chubb Global Casualty PEO programs. The Premium Audit Specialist works in a consulting role in support of ongoing efforts to improve business processes and profitability (mainly expense side impact)
MAJOR DUTIES AND RESPONSIBILITIES
Provide Chubb Global Casualty (CGC) Dallas branch and program support on our Professional Employer Organization (PEO) accounts to ensure that policies premium audits and associated data are technically accurate and are performed in compliance with manual rules Chubb Corporate Policies and Procedures regulatory requirements and sound Premium Audit Practices and Principles.
Ensure that premium audits on PEO policies are completed in a timely & accurate manner through audit oversight ongoing evaluation of client data MGA partners processing and potential outside audit vendor work.
Assist Premium Audit Manager to establish document and implement cost-effective and efficient business processes and procedures with solid controls in place.
Ensure that Bureau Test Audits standards are met or exceeded. Determine action required of Chubb; work with Regulatory Compliance Claims Unit Statistical Reporting and any other department to ensure overall bureau requirements are met.
Assist with compiling validating claims review and reconciliation of program audit data for assigned PEO accounts.
Assist with further development and documentation of criteria and selection process for PEO client company reviews and interim test audits to ensure classifications accuracy and compliance with state and manual rules.
Assist with identification and regular selection of client companies for formal review and/or interim test audits for all PEOs as directed documenting selections in accordance with current procedures.
Conduct interim test audits and formal reviews of PEO client companies as directed coordinating with PEO contact when necessary for client contact to ensure correct classification use.
Complete test audit reports and/or review forms consistently based on regular selections providing test audit reports to PEO while maintaining up to date digital audit files and summary documentation in the designated locations on the network drive for each PEO in accordance with current procedures.
Coordinate policy audits for processing into Chubbs WC System via MGA partners and reconciling data to ensure its accuracy.
Provide ongoing support and monitoring of assigned PEOs audit department issues or procedures to ensure that appropriate handling of classification and exposure issues.
Assist underwriters in assigning classifications for prospective PEO client companies as needed in order to ensure proper classification of employees at inception.
Develop and maintain good working relationships and demonstrate ability to work as a team with internal partners (Regulatory Compliance Department Unit Statistical Department Financial Operations business unit leaders etc.) and external partners (PEO clients MGA partners TPA Partners etc.) to effectively develop and implement process workflow changes/enhancements.
Qualifications
QUALIFICATIONS
- Successful completion of a college level curriculum or equivalent experience professional designations a plus.
- Working knowledge of P&C insurance businesses and audit processes.
- Knowledge of insurance accounting processes and systems receivable and financial discipline.
- Demonstrated WC premium audit competence as evidenced by a minimum of three years of WC Premium Audit experience. Out of three years a minimum of one year should be with primary focus on California risks requiring the interpretation and application of WCIRB manual rules.
- Thorough knowledge of Workers Compensation classification system basic manual rules and industry advisory resources.
- Thorough knowledge of Microsoft Excel (relevant release versions) including effective tools and methods for importing analyzing combining and manipulating large worksheets with extensive data.
- Excellent interpersonal skills with the ability to quickly build relationships with others to effectively communicate goals and procedures as well as educate clients staff and other individuals of all professional levels in a positive manner.
- Demonstrated commitment to perform job duties in accord with the highest ethical standards.
- Excellent conflict avoidance and resolution skills with the ability to deescalate situations involving agitated clients using verbal communication.
- Demonstrated creative analytical and problem-solving skills with flexibility and openness to outside ideas.
- Ability to provide exceptional customer service in a proactive way that minimizes problems and enhances relationships with internal and external clients.
- Demonstrated initiative and self-motivation to effectively manage time and workload including multiple unrelated assignments simultaneously while maintaining service standards with minimal supervision.
- Strong attention to detail and follow-through skills.
- Must be able to work independently.
- Must be able to travel periodically as needed not anticipated to exceed 10%
Required Experience:
Senior IC
Employment Type
Full-Time
