Auditor

• Conducts final premium audits on workers compensation policies ranging in complexity for multiple states. Performs onsite inspections as assigned or as business needs necessitate.
• Reviews documentation submitted via customer portal. Proactively communicates with policyholders and agents as needed to gather necessary information, including complex payroll forms. Requests and reviews any additional payroll or tax document needed to perform final audit. Asks detailed questions to verify classification codes and determine final payroll.
• Identifies issues and concerns; addresses noncomplex concerns with external stakeholders and timely notifies Supervisor as needed for further review.
• Performs onsite inspections as assigned or as needed.
• Provides detailed summary of audit results utilizing company software, providing company-specific descriptions to justify classification codes. Creates both standard and complex worksheets to verify final audited payroll.
• Identifies discrepancies compared to pre-audit classification codes and states and provides detailed explanations. Contacts internal/external stakeholders regarding unusual items and timely forwards to management for discussion. Independently resolves complex discrepancies within prescribed authority level. Acts as primary contact for agents and policyholders regarding inquiries about individual audit results.
• Conducts research on applicable Bureau websites and call centers as needed to prepare for meetings with policyholders and when performing onsite visits. Utilizes Bureau manuals to verify classification codes and review payroll inclusions/exclusions. Submits all levels of inquiries to State Bureaus as appropriate. Develops and utilizes contacts within bureaus for ongoing research to more efficiently classify risks.
• Performs thorough of policy details. Works with Underwriting to ensure correct application of classification codes and reviews applicable manual rules. Resolves all discrepancies and forwards major concerns to Supervisor/Manager for review.
• Processes final audit and revised final audit transactions on policies. Provides comprehensive summary of audit development to justify AP/RP. Prepares to answer complex questions regarding development.
• Identifies and acknowledges dispute submissions. Makes appropriate inquiries and requests additional information as needed to validate dispute. Works with applicable stakeholders (Insured, Underwriting, Marketing, Producer) to resolve both standard and complex disputes. Provides general overview of dispute resolution process when requested.
• Responds to standard and complex inquiries regarding the Premium Audit process and standard Finance workflows. Advises Underwriting, Loss Control, Claims, and other internal departments on standard and complex Premium Audit-related rules and procedures. Collaborates with other teams as directed to ensure an efficient policy lifecycle.
• Becomes familiar with Company communication guidelines and standard operating procedures. Provides gold-standard service to internal and external stakeholders, timely responding to emails and phone calls, transferring inquiries as appropriate, and providing general assistance to all business partners.
• Performs other related duties or special projects as assigned by leadership or as situation dictates. Serves as a change agent in driving on-going process improvement in compliance and efficiency.

Premium Auditor

Senior Premium Auditor