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Premium Audit Specialist
IF YOU CARE, THERE'S A PLACE FOR YOU HERE
For a career path that is both challenging and rewarding, join Sedgwick's talented team of 27,000 colleagues around the globe. Sedgwick is a leading provider of technology-enabled risk, benefits and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. Whether they have a workplace injury, suffer property or financial loss or damage from a natural or manmade disaster, are involved in an auto or other type of accident, or need time away from work for the birth of a child or another medical situation, we are here to provide compassionate care and expert guidance. Our clients depend on our talented colleagues to take care of their most valuable assets-their employees, their customers and their property. At Sedgwick, caring counts®. Join our team of creative and caring people of all backgrounds, and help us make a difference in the lives of others. PRIMARY PURPOSE:
To oversee moderately complex remote and physical inventory audits analyzing data and workflow in California for a team of independent contractor field auditors conducting insurance premium audits ensuring compliance and the quality of remote and physical audits. To engage with workers' compensation insurance rating bureau of California (WCIRB) to ensure compliance with California rules. ESSENTIAL FUNCTIONS and RESPONSIBILITIES
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
- Partners with field auditors conducting remote and physical audits in California discussing inventory, audit issues, and time service including reviewing auditor inventory to assess progress and prioritize client needs such as scheduling, missing documents, client questions, technical audit questions, write-up of audits where necessary, and researching technical issues.
- Collaborates with clients to ensure timely service and quality regarding remote and physical audits in California engaging client assistance where required on behalf of contractor auditors and assisting with client audit dispute resolution providing client updates as required. Reviews disputes and prepares corrected audits and updates clients regarding disputes and updates.
- Conducts audits when the contractor is unable to.
- Performs technical quality reviews of California remote and physical audits as assigned.
- Collaborates with WCIRB regarding class code questions and issues to ensure compliance with California rules.
- Assists the team lead with status reports, client service, and training of contractors/field auditors in use of system, client requirements and procedures.
- Conducts audits as needed.
QUALIFICATIONS Education & Licensing
- Performs other duties as assigned.
- Supports the organization's quality program(s).
- Travels as required.
Bachelor's degree from an accredited college or university preferred. CompEssentials certification preferred. Experience
Five (5) years of related experience or equivalent combination of education and experience required. Skills & Knowledge
- Technical premium audit knowledge and ability to perform all types of premium audits
- Knowledge of workers comp, general liability and auto liability insurance policies.
- Ability to use platform as a service (PAAS), national council on compensation insurance (NCCI), and State Bureau websites for premium audit manual rules, bulletins and classifications research
- Expert knowledge of California workers' compensation classification system, basic manual rules, and industry advisory resources
- Excellent oral and written communication skills, including presentation skills
- PC literate, including Microsoft Office products
- Analytical and interpretive skills
- Strong organizational skills
- Excellent interpersonal skills
- Ability to create and complete comprehensive, accurate and constructive written reports
- Ability to work in a team environment
- Ability to meet or exceed Performance Competencies
When applicable and appropriate, consideration will be given to reasonable accommodations. Mental:
Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical:
Computer keyboarding, travel as required Auditory/Visual:
Hearing, vision and talking NOTE:
Credit security clearance, confirmed via a background credit check, is required for this position.
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.