Senior Premium Auditor

Posted 8 Hours Ago
Be an Early Applicant
2 Locations
Remote
Senior level
Insurance
The Role
The Senior Premium Auditor plans and conducts service audits of policyholder records to determine earned premiums, reviews claims, resolves audit disputes, and maintains communication with stakeholders. The role involves analyzing risk exposures and ensuring compliance with regulations while providing consultation to internal teams and clients.
Summary Generated by Built In

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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.  

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. 

Technical Knowledge and Understanding:

  • Proficient in MS Office software applications

  • General business knowledge and understanding of insurance products needed to provide value-added service

  • Ability to learn and articulate Core Specialty’s underwriting philosophy and practices

  • Business background with knowledge of basic accounting concepts

Experience:

  • Bachelor’s Degree in related field

  • APA or CPCU designation is preferred

  • 5 years related experience

  • Experience working out of a home office

Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa for this position.
#LI-Remote
 

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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

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The Company
HQ: Cincinnati, Ohio
390 Employees
On-site Workplace

What We Do

Core Specialty, through its subsidiary insurers, offers a diversified range of property, casualty, and marine insurance products for small to mid-sized businesses.
We have the capital to take on risk, the underwriting talent in place, decisive leadership team, infrastructure, and a proven track record of making things happen – fast!

When you’re ready to solve your toughest insurance needs, we’re ready to get it done for you.
We free customers up to focus on their business by taking the load of complicated specialty insurance off their hands.
We break down the walls of bureaucracy to provide optimal underwriting solutions for brokers.
We’re ready, equipped, and motivated to get the job done, efficiently and professionally, by empowering experts with what they need to move quickly on behalf of customers and their brokers.

Our specialty focus is the essential part of our identity.
It is at our core

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