Senior Premium Insurance Audit Reviewer

This is a fully remote position, open to applicants in United States.

📋 Description

• Execute audit assessments across various audit categories, prioritizing the oldest audits in the queue while ensuring reviewer coverage.

• Perform secondary evaluations for accounts that have received payment reviews and for higher-level audits that necessitate advanced quality assurance expertise.

• Oversee audit queues and assist in resolving any audit-related bottlenecks.

• Evaluate self-review audits submitted to billing for eligibility and adherence to quality standards.

• Analyze audit reports to identify trends and recurring challenges.

• Monitor carrier return data and suggest process enhancements.

• Collaborate with leadership to develop quality monitoring strategies and conduct data analyses.

• Extract and assess audit files to pinpoint performance strengths and areas for improvement.

• Communicate review findings with leadership for relay to the original auditor.

• Conduct test-audit evaluations for designated carriers.

• Assist in onboarding through shadowing opportunities and ongoing mentorship via chat.

• Participate in Zoom sessions, Learning Academy, and various team initiatives.

• Foster open, solution-oriented communication, teamwork, shared objectives, and productivity.

⛳️ Requirements

• High School Diploma or equivalent.

• Over 5 years of experience in audit reviews or a blend of audit review and premium auditing experience, including workers' compensation or general liability.

• WCIRB CompEssentials certification is preferred.

• Familiarity with Nexus or other audit management platforms.

• Capacity to learn and adapt swiftly in a dynamic environment.

• Proficient in Microsoft Office applications.

• Exceptional ability to manage change effectively.

• Applicants must reside within the United States.

• Must be willing to undergo a background check and drug screening if selected.

🏝️ Benefits

• 100% employer-covered health insurance available from Day 1.

• Access to all medical, dental, and vision benefits starting on Day 1.

• Internet stipend available for remote positions.

• 401k plan with employer matching, vested from Day 1.

• HSA/FSA options available.

• Long-term and short-term disability coverage provided by the employer.

• Generous paid time off plan, including paid holidays and floating holidays.

• Opportunities for development and career growth.

• Comprehensive wellness program with a focus on employee health.

• Eligibility for annual bonuses.