Premium Audit Specialist

Premium Audit Specialist Dallas Texas Open to All Locations (Work From Home)

Chubb is seeking a Premium Audit Specialist with a strong and extensive background in completing Workers Compensation audits for Professional Employer Organization (PEO) program accounts. This role involves extensive data management and analysis as well as collaboration with managing general agent (MGA) and PEO business partners for the completion of large program business audits as part of Chubbs PEO Programs Center.

The position is primarily remote with occasional travel (less than 5%) for client meetings and initial training.

KEY OBJECTIVE

The Premium Audit Specialist is responsible for the timely and accurate servicing of classification and audit related operations on assigned Chubb PEO programs. The Premium Audit Specialist works in a hands-on manner with incoming data as well as in a consulting role for internal and external clients in support of ongoing efforts to improve business processes and compliance with state and bureau requirements.

MAJOR DUTIES AND RESPONSIBILITIES:

• Provide Chubb PEO Programs Center 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 and sound Premium Audit practices and principles.
• Ensure that all premium audits on PEO policies are completed in a timely & accurate manner through data analysis risk review audit oversight ongoing evaluation of client data MGA partners processing and potential outside audit vendor work.
• 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.
• Continually compile validate review and reconcile all program audit data encompassing thousands of individual workers compensation policies including claims review on assigned PEO accounts in accordance with established procedures and processes.
• Consistent review and analysis of PEO monthly data for identification and selection of client companies for formal review and/or interim test audits for assigned PEO accounts.
• Conduct interim test audits and formal reviews of PEO client companies to ensure accurate classification calculation of excluded exposures maintaining digital records and documentation in accordance with established procedures
• Coordinate and oversee policy audit 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.

REQUIRED SKILLS:

• Proficiency in analyzing electronic payroll information primarily in spreadsheet format.
• Comprehensive knowledge of Workers Compensation statutory rules and requirements classification use and resources across all 50 states. Additional consideration given for extensive CA WCIRB experience.
• Familiarity with accounting records and bookkeeping methods.
• Intermediate level competency in Microsoft Excel including pivot tables formulas (relative and absolute) VLOOKUP ranges and more for compilation analysis and manipulation of large volumes of data.
• Strong attention to detail and follow-through skills.
• Excellent interpersonal and verbal communication skills with abilities in conflict avoidance de-escalation and resolution as well as the ability to quickly build relationships with others to effectively communicate goals and procedures as well as educate clients and partners of all professional levels.
• Excellent time management skills to manage day to day tasks with the ability to reassess and reprioritize workload as often as every day.
• Self-discipline to work independently with minimal supervision while keeping relevant parties informed.
• Initiative and self-motivation to consistently manage multiple unrelated daily tasks with fewer short-range deadlines but more critical long-range deadlines.
• Ability to work both independently and collaboratively as part of a tight-knit specialized business unit.
• Consistently interact with others in a positive respectful and professional manner.
• Commitment to upholding the highest ethical standards in all job responsibilities.
• Executes plans effectively drives for results and takes accountability for outcomes.
• Perseveres in challenging situations and capitalizes on opportunities.
• Experience and/or considerable familiarity with Professional Employer Organization operations strongly desired
• Experience with CA WCIRB Premium Audit Accuracy Program (PAAP) aka CA Test Audit Program.
• Successful completion of a college level curriculum or equivalent experience professional insurance designations a plus.
• Demonstrated WC premium audit competence as evidenced by a minimum of 5 years of WC Premium Audit experience. Out of 5 years a minimum of 1 year should be with primary focus on California risks requiring the interpretation and application of WCIRB manual rules and test audit procedures.
• Proficiency in Microsoft Office Suite and other business-related software applications.

EXPERIENCE AND EDUCATION:

• Experience and/or considerable familiarity with Professional Employer Organization operations strongly desired
• Experience with CA WCIRB Premium Audit Accuracy Program (PAAP) aka CA Test Audit Program.
• Successful completion of a college level curriculum or equivalent experience professional insurance designations a plus.
• Demonstrated WC premium audit competence as evidenced by a minimum of 5 years of WC Premium Audit experience. Out of 5 years a minimum of 1 year should be with primary focus on California risks requiring the interpretation and application of WCIRB manual rules and test audit procedures.
• Proficiency in Microsoft Office Suite and other business-related software applications.