Contact Details:
Mamidala
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Job Title: Senior Premium Auditor
Location: Irving TX
Duration: Full Time
Years of Experience: 5 Yrs
Required Hours/Week: 40hrs./Week
Job Description:
- The Senior Premium Auditor is responsible for the accurate and timely review processing and resolution of premium audits conducted by both internal staff and external vendors.
- This role ensures compliance with regulatory standards and internal policies while also supporting the integrity of premium calculations across all lines of business and jurisdictions.
Duties and Responsibilities:
- Timely review and processing of premium audits and disputes across all lines of business and states ensuring accuracy and proper handling of all technical aspects of the audit.
- Process complex audits requiring special attention including multi-state with an understanding of California rules and regulations.
- Initiate and research audit-related issues including procedure and classification discrepancies; prepare written documentation of findings and present the results to the department.
- Maintain an up-to-date inventory of assigned audits and manage daily workflow efficiently.
- Review mail audits and make any necessary phone calls to verify information submitted to process final audit billing.
- Evaluate vendor worksheets for accuracy and quality and communicate with vendors when necessary.
- Process audit billings in Genesys system.
- Meet departmental standards for timeliness and quality.
- Review and research accounting discrepancies as needed.
- Respond to inquiries from agents customers and underwriters with professionalism and accuracy.
- Interpret and apply the various classification and procedural manuals from NCCI PAAS ISO WCIRB.
- Stay informed on relevant state and federal laws impacting the Premium Audit.
- Verify claims coding accuracy
- Complete all necessary reports and administrative tasks within required deadlines
Qualifications:
- Minimum of 5 years of experience in insurance premium auditing preferably in a multi-state environment.
- Knowledge of California rules and regulations preferred.
- Strong analytical and problem-solving skills with attention to detail.
- Proficient in Microsoft Excel Word Outlook and Genesys
- Familiarity with electronic manuals such as PAAS and internet-based resources.
- Ability to calculate premium exposures and apply basic algebra concepts
- Ability to manage complex accounts and disputes to a manageable resolution.
- Bachelors degree in business insurance or related field or equivalent combination of education and experience