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Premium Audit Quality Reviewer

$38.28k - $61.26k
Full-time

Encova Insurance

: The salary range for this job posting is $38,284.00 - $61,255.00 annually + bonus + benefits The above represents the salary range for this job requisition. Ultimately, in determining your pay, we'll consider your location, education, experience, and other job-related factors. Your recruiter can share more information about the specific salary range during the hiring process. This role will work in the Charleston, WV OR Columbus, Ohio office and report to the Assistant Vice President, Premium Audit Operations. Upon being fully trained and proficient, the role may work a hybrid schedule in either office. JOB OBJECTIVE: The Premium Audit Quality Reviewer is responsible for analyzing completed field, phone, and/or mail audit worksheets to ensure they have been completed appropriately according to established business rules and regulatory guidelines. Areas of review include the completeness of the description of operations, proper classification assignment, correctness of payroll reconciliation and documentation of applicable state regulations and premium audit standards. ESSENTIAL FUNCTIONS: 1. Reviews premium audit reports and attachments submitted by field, phone, mail and/or vendor auditors. 2. Responsible for determining if report's content includes all information as outlined in the Premium Audit Technical Manual and/or required by regulatory agencies. 3. Ensures balancing of exposures and proper documentation to support all details of a completed audit have been provided. 4. Ensures supporting financial documentation submitted along with audits completed by staff is appropriate. 5. Communicates audit review results to staff premium auditors and provides direction regarding any needed revisions. 6. All responsibilities must be completed on a timely basis, as assigned by management. 7. Maintains knowledge of current trends and developments in the field of premium audit. 8. Summarizes and communicates review findings and trends to the Premium Audit Specialist and/or AVP, Premium Audit with recommendations related to individualized training needs and process efficiencies which may be gained. OTHER FUNCTIONS: 1. Nonessential function: other duties as assigned. KNOWLEDGE, SKILLS AND ABILITIES:
  • Four year degree in Business or Accounting, preferred. Associates degree with accounting emphasis or applicable work experience will be considered.
  • Insurance experience is a plus.
  • Ability to analyze and interpret accounting records.
  • Proficient in use of spreadsheets to include but not limited to Excel.
  • Ability to evaluate information contained in reports and determine if the information satisfies procedures, policies, and requirements.
  • Ability to establish and maintain working relationships with others.
  • Strong customer service orientation.
  • Excellent communication skills.
  • Strong organizational skills with the ability to multitask and handle time sensitive urgencies.
  • Ability to demonstrate strong attention to detail and work accuracy.
  • Ability to work independently.
  • Ability to apply confidentiality and discretion.
This position has been evaluated in accordance with the Americans with Disabilities Act. Encova Insurance makes every effort to reasonably accommodate disabilities to permit performance of the essential functions and candidates who need such accommodation are encouraged to seek it. This description reflects the nature and level of work performed by associates in this position. It is not an all-inclusive inventory of duties, responsibilities and qualifications required. It provides an accurate overview of the work and skills needed to perform this position. Because job content may change from time to time, Encova Insurance reserves the right to add and/or delete functions from this job as it deems necessary for business reasons. Ready to join our team? At Encova Insurance, we firmly believe that our associates drive our company's success by delivering unrivaled service to our customers. With success in mind, we make an ongoing effort to provide an environment that offers challenging, stimulating and financially rewarding opportunities. Join us to discover a work experience where your diverse ideas will be met with enthusiasm - where you can learn and grow to your fullest potential. What you can expect from us Join our family of industry leaders, and let us reward you with a competitive salary, bonus and benefits package that includes but is not limited to: a 401(k), wellness programs, bonus incentive plans and flexible schedules, with an early close of the office every Friday. Additionally, Encova aspires to be an outstanding corporate citizen in all the markets we serve; we encourage and support associate participation in community initiatives through our foundations. Encova Insurance is an EOE/E-Verify employer.

Vacancy posted 3 days ago
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