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Form of workThis hybrid role involves working in the office once a week.
We are seeking a detail-oriented individual to conduct Internal Premium audits for worker's compensation policies. In this role, you will meticulously verify payroll, class codes, and subcontractor exposure to accurately calculate the final premiums for policyholders. These audits will be performed in accordance with the procedures or client service instructions specific to each business. The focus will be on accounts with premiums typically below $10,000 (but could be greater), ensuring accurate and timely completion of audits.
Our benefits include:
Generous PTO
9 paid holidays
Affordable Medical, Dental, Vision Insurance, HSA, FSA
Traditional and Roth 401(k) plans with company match
Company contributions to help pay off student loans
Monthly home internet allowance
Free life insurance, STD & LTD
Opportunities for annual gainshare bonus
Pet insurance
Paid parental leave
Annual company-wide volunteer day
Adoption financial assistance
What You Will Be Doing:
1. Performs internet (MyPayroll), mail-form or telephone premium audits as assigned on less complex accounts with premiums typically less than $10,0000.
This includes:
analyzing the policyholder's financial reconciliations to ensure a match;
comparing the policyholder's payroll records with the estimated or actual payroll reported. reconciling the appropriate job classification code with the code reported by the policyholder and adjusting premium accordingly;
determining the scope of operations by reviewing contracts between the policyholder and other entities and applying workers' compensation statutes and rules to determine whether a true independent contractor relationship exists.
2. Summarizes all exposure information in accordance with policy contract, terms, such as MWCIA, NCCI, WCRB and MWCARP requirements, state-applicable rules, and Company best practices. Communicates audit results to the policyholder and reconciles any differences. Conveys pertinent information gained or determined by analysis of the policyholder's records to agents, marketing underwriters, and other team members.
3. Processes audits to determine current premium base by entering audit results in the database.
4. Takes advantage of learning opportunities to develop, update and expand skills, knowledge and abilities and applies learning. Keeps apprised of current audit rules and regulations and company best practices.
5. Provides high quality customer service to agents and various policyholders by professionally receiving and appropriately responding to telephone inquiries related to premium billing and premium audits. Maintains appropriate interactions with persons both within the organization and externally.
6. Handles the dispute process according to SFM's specifications or the other contract, working with policyholder, agent, and other entities as needed.
What We'll Love About You
Bachelor's Degree or Associate's degree with emphasis on accounting/finance or similar field; or two years' experience reviewing and processing premium audits or working with financial data in an accounting, business office, bank or insurance environment.
Workers' compensation and/or casualty insurance auditing experience desired.
Excellent customer service skills.
Good math skills and knowledge of accounting practices with analytical capabilities and detail oriented.
Knowledge of MWCIA, NCCI, WCRB and state applicable rules is a plus.
Strong verbal and written communication skills.
A high degree of personal integrity.
Strong professional judgment, problem resolution, and critical thinking skills
Excellent organizational skills and ability to work with minimal supervision.
Ability to comprehend and interpret policies, procedures, laws, regulations and guidelines.
Proficient in MS Office software applications (Excel, Word, etc.).
Excellent time management skills and is able to work well within a team or individually.
Physical Requirements
Work takes place in a hybrid environment within an office setting, using standard office equipment such as computers, phones, and photocopiers, which requires being stationary for extended periods of time. While performing the duties of this job, the employee is regularly required to talk or hear, and maintain concentration and focus. The employee frequently is required to stand; walk; use hands and fingers, handle or feel; and reach with hands and arms and work with close vision. This position requires the ability to occasionally lift office products and supplies, up to 20 pounds. Work is performed indoors with little to no exposure to extreme outdoor weather conditions. Regular attendance is required.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
SFM is unique in that we are small enough that your voice is heard, but has all the benefits and perks of a larger employer. We value your opinion, help you reach your goals, and make it easy for you to maintain work-life balance. Find out why our employees rate us a top employer and choose to stay and grow with us. Find out why SFM employees have stuck around for 30+ years!
About SFM
Since 1983, our mission has been to be the workers' compensation partner of choice for agents, employers and their workers. In that time, we've expanded to a little over 20,000 customers in the Midwest and grown our offerings to include vocational rehabilitation, safe patient handling, loss prevention, medical services and more. Though much has changed through the years, our focus continues to be unrivaled customer service, safety, and providing better outcomes for employers and injured workers.
SFM Mutual Insurance Company and each of its parent companies, subsidiaries and/or affiliated companies are Equal Opportunity/Affirmative Action Employers. All employment decisions are made without regard to race, color, religion, sex, national origin, age, sexual orientation, marital, familial, or veteran status, medical condition or disability, or any other legally protected classification.
SFM Companies, EEO/AA Employers. SFM is a participant of E-Verify
