Premium auditor, Risk Manager​/Analyst

Description

Job Title:
Premium Auditor

Department:
Premium Audit

Reports to:
Premium Audit Manager

Position Summary:

The Premium Auditor is responsible for conducting workers compensation premium audits both remotely and at the insured’s location or independent accounting firm in a timely and cost-effective manner. This position also serves as a professional resource to other departments on Workers Compensation and National Council on Compensation Insurance (NCCI) rules, regulations, and classifications.

This position requires that employees maintain a current and valid driver’s license and current in-force automobile liability insurance coverage as defined by company policy. This position is responsible for Western and Northern New Mexico including areas such as Grants, Gallup, Aztec, Farmington, Bloomfield, Shiprock, Chama, Taos, Red River, Angel Fire, Springer, Raton, and Clayton.

Essential Functions:

• Schedule and conduct audits of selected policies by obtaining records both remotely and by traveling to insured’s location of records to examine, verify, and record pertinent data from final records to determine proper premium basis and classification
• Review policyholder operations to include business ownership, change of exposure, claims, NCCI classifications and application of NCCI Rules
• Summarize information from audit work papers and prepare complete and accurate audit reports for submission
• Review premium audit summaries by comparing information on audit work papers against policy provisions to ensure accuracy of final audit billings
• Analyze and conclude disputed audit inquiries from policyholders and agents
• Utilize exceptional organization skills to prioritize and process assignments by age, size, and type of audit
• Ability to apply principles of logical thinking to define problems, collect data, establish facts, and draw valid conclusions
• Provide excellent customer service to assist Insureds, Agents, Underwriters, Marketing, Claims, and other service personnel in understanding the audit process through explanation of audit procedures
• Upload audit documents into the Nexus Audit system and/or the OnBase Imaging system
• Ability to work independently but seek guidance to resolve issues or unusual circumstances
• Performs other duties as assigned.

Job Qualifications

Education:

High school diploma or equivalency. Bachelor’s degree in Business Administration, Accounting, or related field preferred.

Experience:

Minimum of one year of experience in Workers Compensation insurance or Premium Audit. Two+ years of experience in Workers Compensation insurance or Premium Audit preferred.

Required Skills/Abilities:

• Attention to detail and accuracy
• Strong analytical and problem-solving skills
• Math skills for performing calculations on data such as payroll, premiums and audit transactions
• Strong written and verbal skills with ability to clearly communicate premium audit findings or results
• Organization skills are a must including time management and ability to prioritize work
• Strong sense of urgency to complete tasks in a timely manner
• Proven ability to build and maintain positive working relationships internally and externally
• Ability to conduct business professionally and positively, including acceptance of direction and feedback
• Ability to maintain composure during difficult or challenging situations
• Must have a vehicle for field travel (mileage reimbursed at government rate), a valid driver's license, and insurance
• Ability to travel within assigned territory

Specialized Knowledge, Licenses, etc.:

• Microsoft Office (Word, Excel, PowerPoint, Outlook)

Values and Mission:

Adheres to values and mission by demonstrating Service Excellence, Trust, Ownership, One Team and Boldness in thought and action.

Positive Attitude:

Develops and maintains positive working relationships with team members, customers, co-workers and management by demonstrating effective communication and collaborative skills.

Working Conditions:

• NEW MEXICO MUTUAL maintains general office conditions with light physical demands. May be required to lift up to 10-15 lbs.
• Employees of NEW MEXICO MUTUAL adhere to all safety rules and regulations including building security.
• Employees…