Audit Reviewer

About the role

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.

Responsibilities

• Review completed premium audits for accuracy, completeness, and compliance with company, carrier, bureau, and state requirements.
• Compare current audits to prior audits and policy history to identify payroll changes, classification changes, ownership changes, or other discrepancies requiring review.
• Evaluate class code assignments, payroll allocations, employee duties, ownership, officer status, endorsements, and combinability between related entities.
• Confirm audit findings are consistent with the underwriting file, policy records, endorsements, applications, inspections, and supporting documentation.
• Research and resolve discrepancies identified during audit review and document the basis for decisions.
• Made or coordinate policy corrections and endorsements required as a result of audit findings.
• Review audit disputes, evaluate supporting documentation, communicate findings, and process appropriate revisions.
• Respond to a wide variety of questions received through the audit inbox from brokers, insureds, auditors, vendors, carriers, and internal teams.
• Communicate with underwriting and compliance to coordinate policy updates, classification changes, ownership changes, and other corrections.
• Work with field auditors, audit vendors, and carriers to obtain missing information, clarify findings, and resolve audit issues.
• Research business and policy information through vendor portals, carrier systems, public records, and internal systems.
• Review late-reported claims identified during audits and verify whether the claimant was an employee at the time of injury when requested.
• Maintain accurate records of audit findings, corrections, disputes, communications, and supporting documentation.
• Build and maintain effective working relationships with brokers, carriers, auditors, audit vendors, underwriting, compliance, and other business partners.
• Perform related administrative work, reporting, and special projects as assigned.

Qualifications

• Minimum two years of insurance experience, preferably in Workers’ Compensation premium audit, underwriting, or compliance.
• Working knowledge of Workers’ Compensation premium audit practices, classifications, payroll reporting, ownership rules, endorsements, and entity combinability.
• Strong analytical, research, organizational, and problem-solving skills.
• Ability to review detailed records, identify inconsistencies, and make sound decisions based on available documentation.
• Clear written and verbal communication skills and the ability to explain audit findings and required corrections.
• Proficiency with Microsoft Office and the ability to work in carrier, vendor, bureau, and internal insurance systems.
• Ability to work independently in a hybrid or remote environment while managing multiple priorities and meeting deadlines.