Insurance Premium Auditor-Workers' Compensation jobs in United States
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SFM - The Work Comp Experts · 1 day ago

Insurance Premium Auditor-Workers' Compensation

SFM - The Work Comp Experts is a dedicated workers’ compensation partner that values employee input and work-life balance. The Insurance Premium Auditor is responsible for conducting premium audits on worker’s compensation insurance policies, ensuring accuracy in the premiums paid by policyholders through detailed analysis of payroll and business records.

Financial ServicesHealth CareHuman ResourcesInsurance
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Growth Opportunities

Responsibilities

Performs internet (MyPayroll), mail-form or telephone premium audits as assigned on less complex accounts with premiums typically less than $10,000. This includes:
+ analyzing the policyholder’s financial reconciliations to ensure a match
+ comparing the policyholder’s payroll records with the estimated or actual payroll reported. reconciling the appropriate job classification code with the code reported by the policyholder and adjusting premium accordingly
+ determining the scope of operations by reviewing contracts between the policyholder and other entities and applying workers’ compensation statutes and rules to determine whether a true independent contractor relationship exists
Summarizes all exposure information in accordance with policy contract, terms, such as MWCIA, NCCI, WCRB and MWCARP requirements, state-applicable rules, and Company best practices. Communicates audit results to the policyholder and reconciles any differences. Conveys pertinent information gained or determined by analysis of the policyholder’s records to agents, marketing underwriters, and other team members
Processes audits to determine current premium base by entering audit results in the database
Takes advantage of learning opportunities to develop, update and expand skills, knowledge and abilities and applies learning. Keeps apprised of current audit rules and regulations and company best practices
Provides high quality customer service to agents and various policyholders by professionally receiving and appropriately responding to telephone inquiries related to premium billing and premium audits. Maintains appropriate interactions with persons both within the organization and externally
Handles the dispute process according to SFM’s specifications or the other contract, working with policyholder, agent, and other entities as needed

Qualification

Workers' compensation auditingAccounting practicesAnalytical skillsMS Office proficiencyCommunication skillsCustomer service skillsProblem resolutionTime managementOrganizational skillsCritical thinking

Required

Bachelor's Degree or Associate's degree with emphasis on accounting/finance or similar field preferred; or two years' experience reviewing and processing premium audits or working with financial data in an accounting, business office, bank or insurance environment, or something similar
Workers' compensation and/or casualty insurance auditing experience desired
Excellent customer service skills
Good math skills and knowledge of accounting practices with analytical capabilities and detail oriented
Knowledge of MWCIA, NCCI, WCRB and state applicable rules is a plus
Strong verbal and written communication skills
A high degree of personal integrity
Strong professional judgment, problem resolution, and critical thinking skills
Excellent organizational skills and ability to work with minimal supervision
Ability to comprehend and interpret policies, procedures, laws, regulations and guidelines
Proficient in MS Office software applications (Excel, Word, etc.)
Excellent time management skills and is able to work well within a team or individually
Ability to work in Corporate Headquarters when needed

Benefits

Affordable Medical, Dental, Vision Insurance, HSA, FSA
Flexible hybrid work environment
Traditional and Roth 401(k) plans with company match
Company contributions to help pay off student loans
Monthly home internet allowance
Free life insurance, STD & LTD
Opportunities for annual gainshare bonus
Pet insurance
Generous PTO
9 paid holidays
Paid parental leave
Annual company-wide volunteer day
Discounts on gym memberships, fitness apps and weight loss programs
Adoption financial assistance

Company

SFM - The Work Comp Experts

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SFM is the largest workers’ compensation insurer in Minnesota and a leader regionally, serving more than 35,000 businesses of many types and sizes based in Minnesota, Indiana, Iowa, Kansas, Nebraska, South Dakota, Tennessee and Wisconsin.

Funding

Current Stage
Growth Stage

Leadership Team

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Terry Miller
President and CEO
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Amanda Aponte
Executive Vice President, Chief Financial Officer
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Recent News

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