Posted 10h ago

Virtual Premium Auditor I - Remote

@ Blue Cross Blue Shield of Michigan
Lansing or Michigan or Arkansas or Alabama or Georgia or Louisiana or Mississippi or North Carolina or South Carolina or Oklahoma or Tennessee or Texas or United States
$48k-$81k/yrRemoteFull Time
Responsibilities:performing audits, calculating premiums, reviewing policies
Requirements Summary:Bachelor's in accounting/finance preferred; 1+ year relevant experience or completion of trainee program; knowledge of workers' compensation classification codes; ability to perform virtual and occasional field audits; driver's license required.
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Job Description

SUMMARY:

Responsible for performing virtual audit and some occasional field audits in a multi-functional business unit, within established authority levels. Reviews accounting and financial information necessary to determine appropriate exposures for policyholders’ employees and subcontractors.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

  • Performs online, telephone 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.

 

EDUCATION AND EXPERIENCE

  • Relevant combination of education and experience may be considered in lieu of degree.
  • Bachelor’s degree in accounting, finance or related field.
  • Progress towards or completion of industry recognized professional designations (i.e. APA, IIA, AIU, CPCU, ARM) preferred.
  • With proper education credentials, one year relevant experience that provides the necessary skills, knowledge and abilities or completion of the premium audit trainee program.

 

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

OTHER SKILLS AND ABILITIES

  • 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.

 

ADDITIONAL INFORMATION

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. This job description does not constitute a contract for employment.

WORKING CONDITIONS:

Work is performed primarily in a virtual office environment with minimal field work and with minimal hazards. Travel may be required, with rare overnight stays (i.e., field work or business meetings). Ability to lift and carry computer equipment weighing up to 35 lbs.  Driver's license is required. 

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 $48,200 and $80,750 (P1A).

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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