Senior Premium Analyst

About the role

Primarily responsible for evaluating vendor physical and phone audits, deciding which require further analysis; approving, completing and processing mail audits; processing adjustments; reviewing phone and physical audits needing further review in a multi‑functional business unit. Provides direct customer service via phone, fax, and e‑mail to internal and external customers including Business Development Consultants, Service Center representatives, Finance, Premium Audit staff, agents, attorneys, NCCI/regulatory bureaus, and policyholders.

Responsibilities

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

Education Required

Associate degree in Accounting, Business, Insurance, Finance, or a related field. Combinations of education and experience may be considered in lieu of a degree.

Experience Required

• 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.
• Four years technical or administrative office experience including relevant audit or payroll duties in an insurance organization; or three years demonstrated experience of the necessary skills, knowledge, and abilities for the position may be considered.
• 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 technical or administrative office experience including relevant audit experience 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 Required

• Understanding of vendor audit formats and processes to make timely decisions on which audits require further review.
• Ability to work effectively in a multi‑functional business unit.
• Knowledge of underwriting rules, procedures, state manual rules and Workers’ Compensation classifications in core states and 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 identification of solutions for multiple or cross‑functional business areas.
• Has an understanding of the direction of the overall industry and evaluates the impact on own area of responsibility.

Preferred Qualifications

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).

Working Conditions

Work is performed in an office setting with no unusual hazards.