Premium Auditor / Senior Premium Auditor
| Company | Texas Mutual Insurance |
|---|---|
| Location | Houston, TX, USA, Austin, TX, USA |
| Salary | $36.12 – $53.98 |
| Type | Full-Time |
| Degrees | Bachelor’s |
| Experience Level | Junior, Mid Level, Senior |
Requirements
- Bachelor’s degree or equivalent education, training and experience.
- At least two years’ experience or equivalent education, training and experience for non-senior role and at least four years of experience for senior role.
- Knowledge of underwriting principles and procedures, the NCCI Basic Manual of rules and Texas labor codes.
- Valid Texas driver’s license.
Responsibilities
- Determine the policyholder’s true earned workers’ compensation premium by conducting reviews, interviews, and audits on the policyholder’s premises.
- Analyze the policyholder’s financial reconciliations to ensure they match.
- Compare the policyholder’s payroll records with the estimated or actual payroll reported.
- Determine the appropriate job classification codes for the policyholder’s employees by reviewing the workforce and interviewing the policyholder.
- Reconcile the appropriate job classification code with the code reported and adjusting premium accordingly.
- Determine scope of operations by reviewing contracts between the policyholder and other entities and applying IRS revenue rulings and workers’ compensation statutes and rules to determine whether a true independent contractor relationship exists versus common law employee status.
- Apply the Texas Basic Manual Rules, Classifications and Rates for Workers’ Compensation to the information obtained from the audit to determine the proper premium basis.
- Provide professional and technical explanations to policyholders and agents concerning proper classifications as to the policyholder’s operations, to include communicating information in a highly professional manner both verbally and in writing to policyholders, agents, and other customers (both internal and external).
- Recommend proper accounting procedures to policyholders.
- Identify potential premium fraud by policyholders and forward fraud referrals to the Special Investigations Department.
- Contribute to the effectiveness of Underwriting and Safety Services by conveying physical, financial, and other pertinent information gained or determined by analysis of the policyholder’s operations and financial structure.
- In the Senior role, provide advanced premium audit expertise to staff, management, policyholders, and agents, by training staff, policyholders, and agents on auditing as requested, serving as a subject matter expert on projects and process discussions, recommending and documenting premium audit procedures, assisting management in coordinating departmental workflow, staff, and resources, and consulting on complex premium audit matters.
Preferred Qualifications
- CPCU or Associate in Premium Audit designation
- Bilingual proficiency in Spanish