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Premium Audit Reviewer

Key Facts

Remote From: 
Full time
Senior (5-10 years)
English

Other Skills

  • Microsoft Excel
  • Microsoft Word
  • Microsoft Outlook
  • Decision Making
  • Adaptability
  • Time Management
  • Teamwork
  • Strong Work Ethic
  • Analytical Thinking
  • Detail Oriented
  • Verbal Communication Skills
  • Social Skills
  • Self-Motivation
  • Problem Solving

Roles & Responsibilities

  • Minimum of 5 years of workers' compensation premium audit review experience.
  • Extensive knowledge of California Rules, regulations, and audit requirements, plus Workers' Compensation manual rules (Basic Manual, Scope Manual, State-Specific Manuals for independent bureaus).
  • Excellent interpersonal, written and oral communication skills; strong analytical, problem-solving, and decision-making abilities.
  • Proficiency with Microsoft Office (Excel, Word, Outlook) and familiarity with Visual Audit; ability to independently determine class codes and exposures with minimal guidance.

Requirements:

  • Review audits from vendors/internal auditors to verify accuracy; coach or correct as needed, and return audits for corrections only when necessary.
  • Independently determine whether audits meet QC requirements, standard manual rules, state-specific rules, and client-specific requirements.
  • Analyze data, documentation, and industry materials; enter relevant items into the Premium Audit system; perform basic math calculations and finalize accurate audit statements compliant with company and bureau regulations; self-check for accuracy.
  • Process audits in the Visual Audit system; manage audit inventory to meet production targets; assist the audit department administrator with customer service tasks; handle disputes as assigned and stay current on premium auditing developments.

Job description

Description

Who We Are

Method Insurance is an MGA focused exclusively on Workers' Compensation. With a national footprint, we serve employers of all types by delivering the right coverage to protect their businesses and employees. Our vision is to drive industry-changing outcomes, provide exceptional service to our customers, and create a rewarding workplace for our employees.


Guided by core values of respect, trust, excellence, and caring, we merge deep expertise with leading-edge technology to minimize workplace injuries, ensure superior outcomes, and expedite a safe return to work, ultimately reducing costs for employers and improving the well-being of their employees.


Method Insurance is committed to being there every step of the way, delivering results that benefit everyone involved.


What To Expect

As part of the Insurance Services team, the primary responsibility of the Premium Audit Reviewer is to perform a thorough review of Workers Compensation insurance premium audits. Your strong judgment and critical thinking skills will be essential as you examine the completed audit for accuracy and ensure appropriate classifications, exposures, and premium in accordance with company, industry, government rules, regulations and customer specifications are adhered to. You will investigate all discrepancies/variances while effectively communicating with the auditor. You will also work to develop auditor quality by providing technical guidance. This position is a great opportunity to develop and be part of a rapidly growing company. This is a full-time, salaried exempt position with standard business hours of Monday through Friday from 8:00am to 5:00pm, with some flexibility at manager’s discretion.



What You’ll Do

  • Review audits received from vendors / internal auditors by examining audit worksheets, policies, endorsements, and inspections to verify if audit is correct, make corrections or coach where needed.
  • Return the audit to the vendor / internal auditors for corrections only when necessary.
  • Independently determine if each audit adequately addresses the QC requirements, standard manual rules, state-specific rules, and client-specific requirements.
  • Analyzes existing data, policy and audit documentation, industry and statutory materials and claims and enter relevant items into Premium Audit system.
  • Accurate execution and understanding of basic math calculations with attention to detail.
  • Finalizes accurate audit statement that complies with company and bureau regulations. Self-check work to ensure accuracy
  • Validate time charges for vendors with audit detail and/or explanations.
  • Process audit within the Visual Audit system, to create audit statement.
  • Manage inventory of audits to review, meet production requirements and expectations as provided.
  • Assist the audit department administrator with any customer service-related tasks as needed. 
  • Remain informed of changes and current information relative to premium auditing through discussion and correspondence with experts and industry-related literature.
  • Handle and/or coordinate disputes as assigned. 
  • Perform other duties as assigned by Management.


Requirements

What You Need

  • A minimum of 5 years workers compensation premium audit review experience
  • Ability to read, analyze and interpret financial reports and tax documents.
  • Must have extensive knowledge of California Rules, regulations, and audit requirements.
  • Must have extensive knowledge of Workers Compensation manual rules: Basic Manual, Scope Manual, State-Specific Manuals for independent bureau states,
  • Must have excellent interpersonal and written/ oral communication skills. 
  • Highly motivated and detail-oriented with strong analytical skills 
  • Strong problem solving, reasoning, and decision-making skills.
  • Stay abreast of current regulations by reading and maintaining any technical documentation/correspondence. Be self-driven to research, learn, and apply those learnings.
  • Excellent computer skills (Microsoft Applications such as Excel, Word, and Outlook); experience with Visual Audit is helpful.
  • Strong work ethic and commitment to excellence
  • Participating as a team player by providing positive and constructive feedback, sharing information with the team
  • Ability to make independent decisions regarding class codes and exposures with minimal guidance.
  • Work well in a fast-paced, high-volume environment.
  • Flexible and able to reprioritize daily work to align with the needs of the company.
  • High School Diploma or Equivalent 


Preferred Experience

  • Premium audit experience, preferably in workers’ compensation.
  • An associate or a bachelor's degree in accounting, finance, or a related field.
  • APA is a plus.


What We Offer:

In exchange for your time and expertise, we offer competitive compensation, 401(k) plus matching, health benefits (including HSA Contribution), paid disability, paid parental leave, professional development opportunities, and a hybrid/remote work environment. This is an opportunity to play a key role in the continued success of a growing organization.

Unless fully remote, this position operates in a professional office setting and routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines. This is largely a sedentary role with prolonged periods of sitting at a desk and working on a computer. However, some filing is necessary and may require the ability to lift files, open filing cabinets and bend or stand on a stool as necessary.

Method Workers’ Compensation is an equal opportunity employer regardless of race, color, gender, age, sexual orientation, gender identity, gender expression, religious beliefs, marital status, genetic information, national origin, disability, protected veteran status, or any other basis protected by federal, state, or local law.


Salary Description
$89,900-$96,151

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