Insurance Premium Auditor-Workers' Compensation

SFM Mutual Insurance Companies•Bloomington, MN

16h•Hybrid

About The Position

The Internal Premium Auditor is responsible for conducting premium audits on worker’s compensation insurance policies to ensure that the insurance premiums our policyholders are paying are correct. To achieve this, you will review payroll records and other business records to true up the policy on an annual basis. We will provide you training to effectively evaluate a customer’s payroll, determine proper class codes and subcontractor exposure to calculate the final premium for our customers. Audits are done per the respective business’s procedures or client service instructions. Excellent customer service skills are needed as you will be contacting policyholders via email and or phone, and you must have effective communication and analytical skills. Most audits are done in a virtual setting, so you will obtain most information electronically and work from your desk to complete the audits. Hybrid work is offered, and some in office time is needed. Applicants will need to live in Minnesota.

Requirements

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 along with analytical capabilities with an eye for details.
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.
Proficient in MS Office software applications (Excel, Word, etc.).
Ability to work in Corporate Headquarters when needed.

Nice To Haves

Workers’ compensation and/or casualty insurance auditing experience
Knowledge of MWCIA, NCCI, WCRB and state applicable rules

Responsibilities

Performs premium audits electronically, paper copies or telephonically as assigned on less complex accounts with premiums typically less than $10,000.
Analyzes the policyholder’s financial reconciliations to ensure a match; comparing the policyholder’s payroll records with the estimated or actual payroll reported.
Reconciles 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.