Director, Operations - Premium Audit

Premium Audit

Compensation Overview

The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.

Salary Range

$101,300.00 - $167,000.00

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This role is responsible for leading the strategy, execution, and oversight of premium audit compliance. This critical leadership role ensures audits are accurate, aligned with regulatory requirements, and supported by robust internal controls and company policies. Your insights will directly influence corporate governance and risk management strategies.

In this role, you will collaborate closely with senior leadership, managers, auditors, regulatory bodies, BI Compliance and cross-functional teams to drive audit integrity, strengthen internal safeguards, and promote operational excellence.

You will have Strategic Oversight and Tactical Responsibilities serving as the Premium Audit primary point of contact for areas across the enterprise—including Product Development (Workers' Comp and General Liability), Stat and Data Management, BI Compliance, Claim Product, Residual Market, Controller Operations, Business Process Management (BPM), BPM Premium Audit-Systems (PA Prod support) and BI SP&E (capabilities)—for matters related to state regulations, audit rules, performance standards, timeliness expectations, premium audit system impact/defects and audit noncompliance.

You will play a pivotal role in shaping a culture of compliance and accountability while supporting the organization’s long-term success.

What Will You Do?

• With limited oversight, facilitate and direct non-financial market regulatory activities, including market conduct exams, interrogatories, surveys, and data calls, in higher complexity states/matters.
•  Advise, consult, and provide training and education on matters related to compliance with laws, regulations, applicable company policies, and ethical behavior, while leveraging compliance-related data and trends.
• Serve as the primary liaison with State Bureaus, fostering ongoing communication through regular meetings, updates, and collaborative engagements.
• Lead two compliance employees, fostering a culture of accountability, continuous improvement, and innovation.
• Participates and/or initiates long and short term business strategies for respective function (field, service centers, HOO) to continually enhance operational effectiveness enabling a competitive edge.
• Continually monitors activities of competition and acts appropriately to position the organization out in front.
• Drive initiation, planning, approval process and execution of new or existing projects and initiative that impact Field Regional offices, Service Centers, working with PMO, HO Senior Leadership, Finance, etc. to overcome obstacles and expedite project process.
• Assesses current systems, best practices, quality, service and staff making adjustments to ensure operations stays in line with Business Insurance partner initiatives.
• Partner with business areas to develop and implement operational and policy service strategies, policies and best practices.
• Ensure effective utilization of these strategies, policies, etc.
• Review and analyze financial and operational results to monitoring operational effectiveness (i.e. timeliness, productivity, quality, Voice of the Customer etc.) taking corrective action as necessary.
• Provide analysis of management information to respective stakeholders working with them on tactical and strategic measures needed to improve results.
• Act in a collaborative capacity with Field Operations, etc. to resolve problems/issues quickly. Establish priorities and make workflow decisions.
• Assure that our contractual commitments are met.
• Manage and direct the effective implementation of new technologies and the utilization of existing systems.
• Deploy systems, workflow, best practices, etc. changes and enhancements ensuring adequate training, communications and support.
• Establish and maintain positive and productive relationships through on-going dialogue with , Field and Home Office leadership team.
• Meet with them to assess operations performance and identify/resolve issues/problems.
• Perform all necessary staff management functions to support profit, growth and expense management goals.
• Perform other duties as assigned.

What Will Our Ideal Candidate Have?

• Bachelor’s degree preferred.
• Solid knowledge of Commercial Lines Insurance and Premium Audit processes, including relevant systems and regulatory requirements.
• Demonstrated ability to support or manage and implement project tasks/projects.
• Demonstrated ability to influence and leverage behavior for benefit of the project.
• Demonstrated ability to work independently and in a team environment.
• Demonstrated ability to manage and implement projects.
• Ability to set clear direction by defining goals and priorities.
• Ability to evaluate and support the business needs.
• Solid verbal and written communication skills.
• Solid business knowledge.

• Management of staff:
• Training and development experience or education.
• Clearly expresses ideas orally and in writing.
• Listens to and understands others.
• Shares information and maintains confidentiality.

• Leadership:
• Clearly expresses ideas orally and in writing.
• Listens to and understands others.
• Shares information and maintains confidentiality.

• Strategic Vision:
• Can understand organizational goals and seeks opportunities to better attain them.
• Thinks creatively and offers innovative approaches to enhanced operational effectiveness.
• Customer Focus: Identifies customers needs and takes appropriate action to meet those needs.
• Acts with a sense of urgency.

• Alliance Building:
• Builds a winning team.
• Establishes strong coalitions and networks both within and outside of the division.
• Works effectively with all levels and can easily build new relationships.

• Management:
• Hires competent performing people.
• Takes responsibility for decisions and actions.
• Manages own work and directs the work of others.
• Challenges employees to take responsibility for their performance and their development.
• Understands account support/services and responds to all related issues, concerns and problems to achieve desired goals.

• Technical Knowledge:
• Demonstrates specific policy service and operational skills necessary to achieve established and stretch business goals.
• Evaluates business condition and translates the solution into a manual and/or automated process.

• Business Knowledge:
• Clearly demonstrates specific knowledge requirements related to Premium Audit services as defined by the Operations Division.

What is a Must Have?

• Five years work experience in Finance, Operations or Collections required.