Premium Analyst I

About the role

This role involves primarily evaluating, approving, completing, and processing mail audits and reviewing phone audits in a multi-functional business unit. The primary responsibilities include providing direct customer service via phone, fax, and email to various stakeholders including Business Development Consultants, service center representatives, finance personnel, TPA representatives, and policyholders.

Responsibilities

• Analyze, research, approve, complete and process mail audits.
• Analyze, research, approve, complete, and process the following audit adjustment types: waive, mail, and phone audits.
• When an adjustment is denied, notify the parties involved and gather necessary information from insureds, accountants, or agents to ensure classifications are correctly applied on the audit/audit adjustment.
• Identify correct classifications on the audit by researching PAAS, NCCI, and other applicable web tools.
• Analyze, research, and communicate audit concession requests from external customers to relevant internal staff.
• Communicate final decisions to external customers regarding concession adjustments, if approved by management.
• Analyze, research, and communicate policy changes and omissions to relevant internal staff resulting from audit findings while completing the audit/audit adjustment.
• Manage workflow inventory within PAM to achieve specific time service goals.
• Estimate audits.
• Train and mentor the Premium Audit Technician position.
• Compose written correspondence, as appropriate.
• Maintain confidentiality of information processed.
• Work with minimal supervision.

Qualifications

• Educational Requirements: Minimum 30 credit hours of coursework in Accounting, Business, Insurance, Finance or related field and 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). Combinations of education and experience may be considered in lieu of education requirements.
• Experience Requirements: Two years’ technical or administrative office experience including relevant audit or payroll duties in an insurance organization or two years demonstrated experience of the necessary skills, knowledge, and abilities for the position, may be considered.

Skills/Knowledge/Abilities (SKA)

• Ability to work effectively in a multi-functional business unit.
• Exhibits a basic knowledge of underwriting rules, procedures, manuals and Worker Compensation classifications in a single state and/or multiple states with similar state rules.
• 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.
• Basic knowledge of payroll reports, payroll tax returns, tax forms and supporting documentation.
• Develops and understands client/customer needs and initiates timely action to meet them.
• Exhibits a basic understanding of one or more business functions and their processes.

Additional Education, Experience, Skills, Knowledge, and/or Abilities Preferred

• A minimum of one-year experience as a Premium Audit Technician with the Accident Fund Insurance Company of America.
• Ability to work effectively in a multi-functional business unit.
• Basic knowledge of payroll tax records.
• Basic knowledge of OnBase.
• Basic knowledge of ACD line functionality.
• Basic knowledge of Outlook calendar functionality.

Pay

N/A

Schedule

N/A

Benefits

N/A