Field Premium Audit Consultant II
Blue Cross Blue Shield of MichiganAbout the role
AF Group’s affiliate brands provide innovative insurance solutions and exceptional customer experiences. Business Insurance has consistently ranked AF Group as one of the industry’s “Best Places to Work,” and we’re always looking for dedicated individuals to join our team. Let’s do amazing things together!
This position is a level II Field Premium Auditor residency in any of the following areas is required: Houston, TX, Memphis, TN, or anywhere in the states of OK or MO.
SUMMARY:
Responsible for performing virtual and field audits in a multi functional business unit, within established authority levels. Reviews accounting and financial information necessary to determine appropriate exposures for policyholders’ employees and subcontractors.
RESPONSIBILITIES/TASKS:
- Performs virtual and field audits, within established authority level.
- Contacts agents to review audit results, prior to invoicing on large accounts.
- Collects all pertinent data and documents needed to calculate policyholder’s premium liability.
- Interviews policyholders to obtain further information concerning premiums; e.g., payroll and personnel records.
- Performs physical audits on multi-state accounts, as required.
- Communicates completed audit information with contact and ensures results are understood.
- Reviews policy information by referring to Workers Compensation manuals, class codes and rules and prepares for audit in determining insured’s correct operations.
- Notifies business unit of necessary changes in entities, officers, partners, etc. to ensure that policy is properly endorsed.
- Maintains confidentiality of information processed.
- Works with minimum supervision.
- Demonstrate progressive responsibility and technical knowledge applying principles based on experience.
- Work on complex problems which have broader impact.
- Independently resolve situations.
- Contribute effectively in cross functional teams; may take on leadership role.
- Demonstrate proper collaboration in exchange of relevant elements with other disciplines (e.g., claims, underwriting).
- Develop recommendations to change existing policies/programs.
- Demonstrate well-developed conflict management/negotiation and presentation skills.
- Provide assistance with training, development and mentoring of premium audit staff.
This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.
EMPLOYMENT QUALIFICATIONS:
EDUCATION:
Bachelor’s degree in accounting, finance or related field. Combinations of relevant education and experience may be considered in lieu of a degree. Progress towards or completion of industry recognized professional designations (i.e. APA, IIA, AIU, CPCU, ARM) preferred. Continuous learning, as defined by the Company’s learning philosophy, is required. Certification or progress toward certification is highly preferred and encouraged.
EXPERIENCE:
With proper education credentials, three years relevant insurance experience which provides the necessary skills, knowledge and abilities. Two years Premium Audit experience.
SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:
- Ability to work effectively in a multi functional business unit.
- Knowledge of workers compensation insurance including knowledge of occupational classification codes and rules.
- Ability to quickly and accurately work with many variables to arrive at premium calculations.
- Ability to read, analyze, and interpret policy documents, technical and financial information, and procedure manuals.
- Ability to initiate insurance transactions in compliance with all policies, procedures, legal and ethical guidelines.
- Ability to perform necessary mathematical computations.
- Ability and proficiency in the use of computers and company standard software specific to position.
- Excellent oral and written communication skills.
- Effective presentation skills in a variety of settings.
- Ability to negotiate while establishing a personal rapport and maintaining an effective working and client relationship, both internally and externally.
- Ability to maintain confidentiality.
- Ability to manage multiple priorities, establish workflows and meet necessary deadlines.
- Ability to work with minimum supervision.
- Ability to perform other assignments at locations outside the office.
- Knowledge of, and
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