Sr. Underwriting Compliance Auditor

BlueCross BlueShield of Tennessee•Chattanooga, TN

3d•Remote

About The Position

BlueCross BlueShield of Tennessee is recruiting top talent to join their remote-first Underwriting Compliance Auditor organization. This role is critical in supporting the well-being of 3.4 million customers. The Sr. Underwriting Compliance Auditor supports the underwriting audit function by reviewing underwriting files and group tax documentation to ensure accuracy, completeness, and compliance with underwriting guidelines, regulatory requirements, and internal policies. This role is ideal for individuals who are highly detail-oriented and interested in building a career in underwriting, compliance, or audit operations. The company fosters a culture where innovation is encouraged, including the responsible use of AI-enabled tools to support everyday work, guided by proven workflows, templates, and policies.

Requirements

High School Diploma or equivalent
3 years – Experience in underwriting, underwriting audit, compliance, quality review, and/or basic business employee tax filing requirements/accounting/payroll experience
High attention to detail and accuracy
Ability to interpret and apply underwriting guidelines and policies
Ability to work independently while managing multiple audits/deadlines
Strong written and verbal communication skills
Proficiency in Microsoft Office (Outlook, Word, Excel)

Nice To Haves

Strong attention to detail with the ability to review complex information accurately
Ability to follow established procedures and apply guidelines consistently
Strong written and verbal communication skills
Ability to manage multiple tasks while meeting deadlines
Experience in healthcare underwriting, underwriting audit, compliance, quality review, and/or basic business employee tax filing requirements/accounting/payroll experience
Internal candidates with FACETS experience.

Responsibilities

Conduct audits of underwriting files, including applications, tax documentation, financial statements, and supporting records
Review tax forms (e.g., wage reports, payroll records, business tax filings) to validate group eligibility, enrollment, or rating criteria
Ensure underwriting decisions comply with internal guidelines, regulatory standards, and compliance policies
Identify discrepancies, documentation gaps, errors, or policy exceptions in underwriting determinations
Communicate audit results to Marketing, Underwriting, compliance, and leadership teams, including recommended corrective actions
Document audit findings clearly and maintain complete audit workpapers
Support follow-up audits, corrective action plans, and appeals or reconsiderations
Maintain knowledge of underwriting rules, tax documentation requirements, and regulatory changes (i.e. ACA, ERISA, TN state law, IRS rules)
Track audit trends and recommend process improvements or training opportunities
Mentor and assist Underwriting Auditors with complex and sensitive audits as well as assist with quality audits of other auditors using quality-related metrics.