Sr. Premium Auditor

Location: CA Remote

Time Type: Full time

Job Description

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Planning and conducting Final or Service audits of Voluntary policyholder business records for accurate and timely determination of earned premium by proper classification and measurement of insurance risk exposures for the policy period.  The preference is to have someone working out of the state of California.

Key Accountabilities/Deliverables:

• Plan and conduct timely service audits with new policyholders to analyze risk exposure and identify policyholder service requirements.

• Perform audit of claims filed during policy period to verify claimant’s employment at time of injury and proper classification of the claim(s).

• Reviewing and processing service audits and final audits received from staff and contract auditors to ensure proper analysis of risk exposure and timely determination of earned premium.

• Work as a liaison between policyholder, broker, and the appropriate departments to review and resolve audit disputes.

• Cultivate effective “partner” relationships, internally and externally, to fulfill client expectations while addressing business needs in a timely/efficient manner.

• Provide consultation and technical assistance to finance, underwriting, marketing, producers, and policyholders.

• Keep abreast of state board and bureau decisions.

• Maintains current knowledge of rules and regulations applicable to jurisdictions and ensures correct and consistent application. 

• Identify issues to be communicated and socialize the audit information to appropriate stakeholders (i.e., Central Processing, Distribution, Underwriting, Agent/Broker, etc.) to elaborate on current risk conditions or initiate necessary changes to the policy contract 

• Schedule audit appointments with policyholders considering priority of assignments, and location within assigned territory with minimal oversight. 

• Exhibit effective workload management skills through efficient time utilization including managing work-in-process and documenting progress for appropriate stakeholders/management.

• This position will work remotely and cover all US States. While most audits are completed from the Auditor’s home office, some clients may request in-person audits. 

• Provides guidance and assistance to lower-level positions. May assist in training new employees. 

• Other duties as assigned. 

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At Core Specialty, you will receive a competitive salary and opportunities for professional development and advancement. We offer medical, dental, vision, and life insurances; short and long-term disability; a Company-match of 100% of a 6% contribution 401(k) plan; an Employee Assistance Plan; Health Savings Account, Flexible Spending Account, Health Reimbursement Account, and a wellness program