Senior Premium Analyst

Blue Cross Blue Shield of Michigan•Lansing, MI

6d•Onsite

About The Position

Primarily responsible for evaluating submitted vendor physical and phone audits to determine which require further analysis. This role involves approving, completing, and processing mail audits, processing adjustments, and reviewing phone and physical audits that need additional attention within a multi-functional business unit. The Senior Premium Analyst also provides direct customer service via phone, fax, and e-mail to both internal and external customers, including Business Development Consultants, Service Center representatives, Finance, other Premium Audit staff, agents, attorneys, NCCI/regulatory bureaus, and policyholders.

Requirements

Associate degree in Accounting, Business, Insurance, Finance, or a related field (combinations of education and experience may be considered in lieu of a degree).
One year as a Premium Analyst II with demonstrated technical decision-making, audit processing skills, and experience with manual rules across states and regulatory authorities.
Four years of technical or administrative office experience, including relevant audit or payroll duties in an insurance organization, OR three years of demonstrated experience of the necessary skills, knowledge, and abilities for the position.
OR Bachelor’s degree in Accounting, Business, Insurance, Finance, or related field with progress towards or completion of Insurance Institute of America (IIA) or other insurance-related designation(s).
And One year as a Premium Analyst II with demonstrated technical decision-making, audit processing skills, and demonstrated experience with manual rules across states and regulatory authorities.
And Two years of technical or administrative office experience, including relevant audit experience in an insurance organization, or two years of demonstrated experience of the necessary skills, knowledge, and abilities for the position.
Understanding of vendor audit formats and processes to make timely decisions regarding audits requiring further review.
Ability to work effectively in a multi-functional business unit.
Knowledge in the concepts and application of underwriting rules, procedures, state manual rules, and Workers’ Compensation classifications in all core states, with awareness of non-core states.
Excellent oral and written communication skills.
Excellent organizational skills and ability to prioritize work.
Ability to manage multiple priorities and meet established deadlines.
Basic knowledge of computers, word processing, and spreadsheet software with accurate input ability of 40 wpm and ability to use 10-key.
Analytical and problem-solving skills.
Ability to proofread documents for accuracy of spelling, grammar, punctuation, and format.
Basic math skills.
Proficient knowledge of payroll reports, payroll tax returns, tax forms, and supporting documentation.
Ability to think proactively and independently with a long-term perspective in addressing clients'/customers' needs.
Understand and actively engage in the identification of solutions for multiple or cross-functional business areas, understanding the direction of the overall industry and evaluating its impact on own area of responsibility.

Nice To Haves

Significant progress towards or completion of Insurance Institute of America (IIA) or other insurance-related designation(s) such as an Associate in Premium Audit (APA) or Chartered Property Casualty Underwriter (CPCU).

Responsibilities

Actively engages in the identification of solutions for multiple or cross-functional business areas, understanding the direction of the overall industry and evaluating its impact.
Evaluates and decides in a timely manner which vendor audits submitted require further review and provides direction to the Premium Analyst position.
Analyzes, researches, approves, completes, and processes mail audits.
Reviews phone and physical audits for findings that need to be communicated to relevant internal staff (e.g., Business Development, Worksafe Consulting Services, Claims) to amend the policy accordingly.
Analyzes, researches, approves, completes, and processes various audit adjustment types (waive, mail, phone, physical audits) and notifies parties involved when an adjustment is denied.
Makes necessary customer contacts with insureds, accountants, or agents to gather sufficient information to ensure correct classification application on the audit/audit adjustment.
Identifies correct classifications on the audit using research tools such as PAAS, NCCI, and other applicable web tools.
Analyzes, researches, and communicates policy changes and omissions (e.g., payroll, class codes, entity, states, Federal/Risk IDs, addresses, officers, endorsements) to relevant internal staff as a result of audit findings.
Manages workflow inventory within PAM to achieve specific time service goals.
Trains and mentors Premium Analyst I, II, and Premium Audit Technicians.
Composes written correspondence as appropriate.
Maintains confidentiality of processed information.
Works with minimum supervision.