Premium Auditor at Pharmacists Mutual Insurance Company

Description

Pharmacists Mutual Insurance has an opening for a Premium Auditor. This position assists the Finance team through compiling, examining, and analyzing member information, specifically payroll, job duties, and tax documents to ensure proper classification on Workers Compensation policies. This position communicates with our members to obtain information and gain an understanding of the risk while creating relationships. Using state regulations and guidelines, final policy premium is calculated using the records gathered.

Premium Auditor I  

• Performs audits on less complex accounts with assistance from mentors.
• Exhibits effective workload management skills through efficient time utilization.
• Develops successful relationships with members, agents, and other internal staff by utilizing excellent communication skills and clear documentation.
• Performs other premium audit related duties as needed.

Premium Auditor II

• Demonstrates a history of high-quality work and strong knowledge base about process and policies. 
• Recognizes and provides possible solutions to issues that may arise.
• Ability to communicate effectively and resolve disputes on audits.
• Coordinates assignment of multi-location audits for large risks.

Senior Premium Auditor

• Provides management with analysis and resolution of multifaceted matters.
• Manages special projects and assignments, contributing to ongoing improvements for the business and further enhancements to the overall member experience.
• Serves as lead trainer and mentor for level I and II auditors.
• Manages and problem solves the most difficult accounts.
• Assists manager in quality review procedures, contributing to the growth and development of team members.

Essential Functions

Essential functions may include, but are not limited to the following:    

• Compiles and conducts audit of selected Commercial Lines adjustable policies by reviewing the member’s business operations, including examining, verifying and recording pertinent classification-related data from financial/business records.
• Communicates with the member to obtain information regarding the member's operations and business model to obtain a good working knowledge and analysis of the risk.
• Determines and develops premium basis and classification information staying within insurance manual guidelines.
• Recognizes and communicates regular and irregular audit findings and financial conditions of an insured to the agent and underwriting.
• Analyzes and reviews claims to verify employment, proper classification coding and proper allocation of payroll.
• Reports changes in policy information, financial condition, operations or any fact that may affect the insurability of the policyholder.
• Stays up-to-date on manual rules, state regulations, and company standards and procedures.
• Ensures data quality and accuracy, timely data entry, and policy processing.
• Understands computer operations and is capable of navigating multiple applications simultaneously and accurately.
• Provides timely and quality customer service.
• Documents all transactions according to Company guidelines.
• Supports the insurance operations through processing of incoming documentation.

Knowledge, Skills and Abilities

• Thorough knowledge of principles and practices of insurance underwriting, collection and interpretation of data.
• Ability to use initiative and apply innovative thinking.
• Ability to organize and prioritize work.
• Ability to interpret and apply laws, rules, and regulations.
• Establish and maintain effective working relationships in a team environment through written and oral communication.
• Correct English usage, spelling, grammar, vocabulary and punctuation.
• Ability to work independently.
• Contribute effectively to the accomplishment of all goals and objectives.
• Analyze complex issues and make critical decisions.
• Read, interpret and input data efficiently and accurately.
• Communicate and work effectively with others (oral and written).
• Follow oral and written directions.
• Ability to provide effective customer service.
• Ability to handle multiple tasks at once.
• Meet definite deadlines and deal with pressure situations.
• Obtain and utilize sensitive information discreetly and objectively.
• Determine when to escalate concerns to the appropriate level of management.
• Utilize computer and related software effectively, and be skilled in Microsoft computer programs.
• Knowledge of telephone etiquette. 
• Presents oneself in a positive, professional manner.

Qualifications

Experience and Education Qualifications

Premium Auditor I

• High School diploma or equivalent and 3 years of related experience; or
• Associate’s Degree or equivalent and 1 year of related experience

Premium Auditor II

• High School diploma or equivalent and 5 years of related experience; or
• Associate’s Degree or equivalent and 3 years of related experience; or
• Bachelor's Degree

Senior Premium Auditor

• High School Diploma or equivalent and 7 years of related experience; or
• Associate’s Degree and 5 years of related experience; or
• Bachelor's Degree and 3 years of related experience; or
• Master's Degree

Preferred Qualifications

All Levels

• Associate's or Bachelor's Degree in Finance or Accounting

Work Environment

• Primary work environment is in a climate-controlled office setting
• Work may involve travel to attend meetings at other locations and driving to and from the post office