Audit Reviewer

The Premium Audit Reviewer performs quality review functions within the Audit QC Department to ensure that all audits meet regulatory and client-specific requirements.

Essential Responsibilities

• Primary review of all premium audits to include workers compensation, general liability, garage audits etc.
• Independently determines if each audit adequately addresses the Afirm QC Requirements, state-specific requirements, and client-specific requirements.
• Validate time charges with audit detail and/or explanations.
• Manage inventory of audits to review.
• Work to develop auditor quality by providing technical help and clear information through direct communication with the auditors during the review process, or as otherwise requested by the Afirm QC Department management.
• Meet production requirements and expectations as provided.
• Other duties as assigned.

Requirements

• At least 2 years of Insurance Premium Auditing REQUIRED
• Must have extensive knowledge of manual rules: Basic Manual, Commercial Lines Manual, State-Specific Manuals for independent bureau states
• Thorough experience regarding the usage of PAAS (Codes, Bulletins, FAQ’s, Chart of State Exceptions, etc.)

Competencies

• Dependability - Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments.

• Confident and Decisive: Takes independent actions and calculated risks; Ability to explain and defend actions on one’s own accord; Takes accountability and ownership over actions

• Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.
• Technical Skills - Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others.
• Quality Management - Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness; Applies feedback to improve performance; Monitors own work to ensure quality.

• Investigative: Ability to research and locate information when it is not directly given; Comfortable asking follow-up questions; Demonstrating curiosity in work interactions.
• Attention to Detail: Listen to information from policyholders and clients alike; Review submitted materials to ensure they are accurate, clear, and concise; Extract pertinent information to minimize distraction on reports.
• Numeracy: Ability to understand and work with numbers; Apply simple numerical concepts to comprehend information in an insured’s records.
• Analytical: Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.