Method Workers' Comp

Auditor

• Conducts audits of workers’ compensation policies with minimal oversight by evaluating the insured's business operation through examining, verifying, and recording pertinent classification-related data from financial/business records.
• Review and summarize submitted information from insureds to determine correct exposures for all classifications by reviewing federal and state part payroll reports, financial statements, and other payroll and sales reporting documents.
• Review dispute information received from agents or insureds who contest audit results, analyze the submitted information for relevance and appropriate documentation by interpreting financial statements, federal tax returns, general ledgers and vendor reports, quarterly reports, and state unemployment records; deciding if submitted information is valid to warrant a revision, and communicating directly with insured and their representatives to resolve audit disputes and premium due.
• Communicate with all internal and external customers regarding exposures, classification changes, or general auditing procedure questions pertaining to premium audits.
• Utilizes laptop computer to record audit information and transmit completed audits in a timely manner.
• Remains informed of changes and current information relative to premium auditing through discussion and correspondence with experts and industry-related literature.
• Adhere to all SOP’s and complete audits in compliance with all company, industry, and government rules and regulations.
• Identify, research, and resolve any audit discrepancies and disputes with our policyholders, agents, and third-party vendor.
• Exercise discretion and independent judgment in the reviewing and analyzing of the results of the third-party vendor’s audit exposure worksheets and initiates further action with underwriting, producers, or premium audit leadership as necessary.
• Monitor timely completion of policy premium audits by working closely with the third-party audit vendor as well as policyholders.
• Show an in-depth understanding of premium, payroll records, class code exposures, and the audit process.
• Utilize platforms such as NCCI and/or State Bureau websites for premium audit manual rules, bulletins, and classification research.
• Maintain and work to improve the premium audit process by performing the following duties: providing customer service support, working with third-party premium auditors, reviewing and entering audit invoices, and other general duties as assigned and necessary.
• Monitor, document, and respond to internal/external audit inquiries.
• Monitor, document, and coordinate the audit dispute process.
• Identify workflow and service enhancements that increase efficiency and overall satisfaction throughout the lifecycle of the premium audit process.
• Identify issues discovered during the premium audit and coordinate appropriate action with underwriting, billing, agents, and policyholders through audit alerts.
• Enter policy audit results into the policy management system and generate audit invoices.
• Ensure that necessary policy changes uncovered during the audit process are endorsed on to current and past terms in consultation with the underwriting team.
• Perform general administrative functions required in the audit process.
• Provide reporting and other metrics to management around the premium audit process.
• Perform other duties as assigned.

Senior Premium Auditor