Senior Premium Audit Consultant - Remote… at Blue Cross… · Detroit

Senior Premium Audit Consultant - Remote with Physical and Virtual Audits - Metro-Detroit

Location: Detroit, MI, United States

SUMMARY:

Responsible for performing virtual and field audits in a multi-functional business unit. Reviews accounting and financial information, as well as, the business operations, to determine appropriate exposures and classifications for policyholders’ employees and subcontractors. Provide assistance with training, development and mentoring of the Premium Audit staff.

This position involves physical audits in addition to virtual audits and requires travel within the assigned market/territory. Residency within or in close proximity to the designated market is required to support job responsibilities.

RESPONSIBILITIES/TASKS:

• Performs virtual and in person field audits.
• 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, and communicates completed audit information with contact and ensures results are understood.
• Contacts agents to discuss audit results prior to invoicing on large accounts.
• Provides information to policyholders in preparation for Workers Compensation audits.
• Reviews policy file information by referring to workers compensation manuals, class codes and rules, and prepares for audit in determining insureds’ correct operations.
• Notifies business unit of necessary changes in entities, officers, partners, etc. to ensure that policy is properly endorsed.
• Perform re-audits when disputes or discrepancies arise on original audit.
• May be required to testify in court regarding premium audits.
• Represent company at agent meetings to promote corporate product.
• Responsible for developing and conducting training programs.
• Responsible for providing mentoring to Premium Audit Consultants including ride-a-longs, one-on-one meetings, performance reviews, orientation and overall consultant development.
• Maintains confidentiality of information processed.
• Works with minimum supervision.

This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.

EMPLOYMENT QUALIFICATIONS:

Bachelor’s degree in accounting, finance or related field. Combinations of relevant education and experience may be considered in lieu of a degree. Completion of APA designation or significant progress towards or completion of CPCU perfered. Continuous learning, as defined by the Company’s learning philosophy, is required.

EXPERIENCE:

A minimum of five years relevant premium auditing experience which provides the necessary skills, knowledge and abilities. Two years of physical auditing preferred.

SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:

• Demonstrates considerable knowledge of business operations and workers compensation insurance classification codes and rules.
• Demonstrates ability to read, analyze, and interpret policy documents, technical and financial information, and procedure manuals.
• Excellent oral and written communication skills.
• Ability to train other auditors, including riding with other experienced auditors to evaluate their progress.
• Knowledge of current and future practices, trends and information affecting the marketplace.
• Effective presentation skills in a variety of settings.
• Ability to initiate insurance transactions in compliance with all policies, procedures, legal and ethical guidelines.
• Ability to negotiate while establishing a personal rapport and maintaining an effective working and client relationship, both internally and externally.
• Ability and proficiency in the use of computers and the use of company standard software.
• Ability to quickly and accurately work with many variables to arrive at premium calculations.
• Ability to manage multiple priorities, establish workflows and meet necessary deadlines.
• Ability to maintain confidentiality
• 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 in a virtual office environment or in the field with minimal hazards. Travel within the territory is required and may include occasional overnight stay for business related meetings. Ability to lift and carry computer equipment weighing up to 35 lbs. Driver's license is required.

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 $65,000 and $108,000.

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.

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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