Description
Reporting to the Premium Audit Supervisor, the Premium Audit Reviewer is responsible for the quality and timely review of all premium audits, including complex, out-of-state and key accounts, in accordance with company, industry and government rules and regulations.
After an initial training period, the successful candidate will have the option to work remotely up to 2 days per week.
Job Responsibilities:
Review and verify the accuracy of Commercial Lines policy audits. Ensure data entry is completed accurately and refer complex or irregular cases to management when necessary.
Conduct detailed analyses for voluntary mail audits by reviewing financial records submitted by policyholders. Calculate auditable exposures, assign them to the appropriate classifications, and finalize premium determinations.
Effectively communicate with internal and external customers via phone or email to clarify audit-related inquiries and resolve issues. Provide clear, professional guidance on audit requirements and procedures.
Identify potential indicators of fraud and promptly notify the supervisor if a case warrants investigation by the Special Investigations Unit (SIU).
Prepare and issue monthly audit assignments for NJM auditors and independent audit vendors. Include relevant policy information and instructions as required to ensure efficient audit processing.
Identify and process estimated audits for policyholders who are noncompliant with mail audit requirements, following established protocols for audit estimation.
Verify the accuracy of invoices received from Independent Fee Companies and coordinate payment by submitting check requests.
Respond to rating bureau inquiries and letters in a timely and accurate manner, ensuring compliance with regulatory requirements.
Assist in training new Premium Audit Reviewers and contribute to the continuous improvement of departmental processes by updating Standard Operating Procedures (SOPs) as needed.
Regular and dependable attendance is essential to this role, as it ensures the efficient functioning of the Premium Audit Department.
Perform additional duties related to the Premium Audit Department, as assigned, to support team goals and contribute to professional growth and knowledge within the department.
Required Skills & Qualifications:
High School diploma
Mathematical proficiency is required
Excellent communication (verbal and written) and interpersonal skills
Ability to work in a team and independently
Excellent organizational skills, ability to multi-task, and must be detail oriented
Experience and proficiency with Microsoft Office [Word, Excel, and Outlook] required
Experience with PolicyCenter, ClaimCenter, BillingCenter) is preferred
Professional certifications such as an AINS or AIS are a plus
Legal Disclaimer: NJM is proud to be an equal opportunity employer. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business.
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