Core Specialty Logo

Core Specialty

Senior Premium Auditor

Job Posted 21 Days Ago Posted 21 Days Ago
Be an Early Applicant
Remote
2 Locations
Senior level
Remote
2 Locations
Senior level
The Senior Premium Auditor plans and conducts service audits of policyholder records to determine earned premiums, reviews claims, resolves audit disputes, and maintains communication with stakeholders. The role involves analyzing risk exposures and ensuring compliance with regulations while providing consultation to internal teams and clients.
The summary above was generated by AI

-

Planning and conducting Final or Service audits of Voluntary policyholder business records for accurate and timely determination of earned premium by proper classification and measurement of insurance risk exposures for the policy period.  

Key Accountabilities/Deliverables:

  • Plan and conduct timely service audits with new policyholders to analyze risk exposure and identify policyholder service requirements.

  • Perform audit of claims filed during policy period to verify claimant’s employment at time of injury and proper classification of the claim(s).

  • Reviewing and processing service audits and final audits received from staff and contract auditors to ensure proper analysis of risk exposure and timely determination of earned premium.

  • Work as a liaison between policyholder, broker, and the appropriate departments to review and resolve audit disputes.

  • Cultivate effective “partner” relationships, internally and externally, to fulfill client expectations while addressing business needs in a timely/efficient manner.

  • Provide consultation and technical assistance to finance, underwriting, marketing, producers, and policyholders.

  • Keep abreast of state board and bureau decisions.

  • Maintains current knowledge of rules and regulations applicable to jurisdictions and ensures correct and consistent application. 

  • Identify issues to be communicated and socialize the audit information to appropriate stakeholders (i.e., Central Processing, Distribution, Underwriting, Agent/Broker, etc.) to elaborate on current risk conditions or initiate necessary changes to the policy contract 

  • Schedule audit appointments with policyholders considering priority of assignments, and location within assigned territory with minimal oversight. 

  • Exhibit effective workload management skills through efficient time utilization including managing work-in-process and documenting progress for appropriate stakeholders/management.

  • This position will work remotely and cover all US States.  While most audits are completed from the Auditor’s home office, some clients may request in-person audits. 

  • Provides guidance and assistance to lower-level positions. May assist in training new employees. 

  • Other duties as assigned. 

Technical Knowledge and Understanding:

  • Proficient in MS Office software applications

  • General business knowledge and understanding of insurance products needed to provide value-added service

  • Ability to learn and articulate Core Specialty’s underwriting philosophy and practices

  • Business background with knowledge of basic accounting concepts

Experience:

  • Bachelor’s Degree in related field

  • APA or CPCU designation is preferred

  • 5 years related experience

  • Experience working out of a home office

Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa for this position.
#LI-Remote
 

-

At Core Specialty, you will receive a competitive salary and opportunities for professional development and advancement.  We offer medical, dental, vision, and life insurances; short and long-term disability; a Company-match of 100% of a 6% contribution 401(k) plan; an Employee Assistance Plan; Health Savings Account, Flexible Spending Account, Health Reimbursement Account, and a wellness program

Top Skills

MS Office

Similar Jobs

2 Days Ago
Remote
4 Locations
74K-118K Annually
Senior level
74K-118K Annually
Senior level
Artificial Intelligence • Cloud • Fintech • Professional Services • Software • Analytics • Financial Services
The Senior Networking and IAM Engineer ensures functional usage of the Workiva platform focusing on networking and authentication. Responsibilities include leading technical escalations, delivering high-quality support, troubleshooting, creating technical documentation, and mentoring entry-level engineers while promoting continuous improvement.
Top Skills: AWSAws Solutions ArchitectAzure Entra IdCcnaCiamFirewallsGCPNetskopeNetwork+OktaPing IdentitySailpointSAMLScimSecurity+SwitchesTcp/IpZscaler
18 Days Ago
Remote
5 Locations
Mid level
Mid level
Productivity • Software • App development • Automation
The License Compliance Manager will focus on identifying and investigating compliance opportunities for Apryse software, communicate with technical and legal executives, and document work in a CRM. This role involves understanding AGPLv3 licenses, building rapport with users, and participating in compliance events.
10 Hours Ago
Remote
45 Locations
69K-124K Annually
Mid level
69K-124K Annually
Mid level
Healthtech
The Senior Actuarial Analyst will assist with financial analysis, pricing, and risk assessment by analyzing data, developing Medicaid health insurance models, and managing reporting. The role requires collaboration across markets and demands strong knowledge in mathematics, statistics, and finance, as well as experience in the Medicaid sector.
Top Skills: ExcelSASSQL

What you need to know about the Seattle Tech Scene

Home to tech titans like Microsoft and Amazon, Seattle punches far above its weight in innovation. But its surrounding mountains, sprinkled with world-famous hiking trails and climbing routes, make the city a destination for outdoorsy types as well. Established as a logging town before shifting to shipbuilding and logistics, the Emerald City is now known for its contributions to aerospace, software, biotech and cloud computing. And its status as a thriving tech ecosystem is attracting out-of-town companies looking to establish new tech and engineering hubs.

Key Facts About Seattle Tech

  • Number of Tech Workers: 287,000; 13% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Amazon, Microsoft, Meta, Google
  • Key Industries: Artificial intelligence, cloud computing, software, biotechnology, game development
  • Funding Landscape: $3.1 billion in venture capital funding in 2024 (Pitchbook)
  • Notable Investors: Madrona, Fuse, Tola, Maveron
  • Research Centers and Universities: University of Washington, Seattle University, Seattle Pacific University, Allen Institute for Brain Science, Bill & Melinda Gates Foundation, Seattle Children’s Research Institute
By clicking Apply you agree to share your profile information with the hiring company.

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account