Premium Auditor / Senior Premium Auditor - Virtual

Texas Mutual Insurance Company•Austin, TX

29d•$37 - $55•Hybrid

About The Position

At Texas Mutual, we are proud to create a stronger, safer Texas. That means helping injured workers return to a productive life, empowering businesses to thrive, and giving back to our communities. The Premium Audit team plays a major role in these efforts by determining the final premium for our policyholders at the conclusion of each policy term.

Requirements

Bachelor's degree or equivalent education, training and experience.
At least two years’ premium audit experience or equivalent education, training and experience for non-senior role and at least four years of premium audit 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.

Nice To Haves

CPCU or Associate in Premium Audit designation
Bilingual proficiency in Spanish

Responsibilities

Determine the policyholder's true earned workers' compensation premium.
Conduct 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 policyholders, agents and other customers (both internal and external).
Recommending proper accounting procedures to policyholders.
Identifying potential premium fraud by policyholders and forwards fraud referrals to the Special Investigations Department.
Contributing 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.
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.
Consulting on complex premium audit matters.