Premium Audit Manager

Job Description
Reports to: Director of Underwriting

Position Summary: Manage and supervise the day to day operations of the company’s premium audit department. This position encompasses all aspects of the premium audit function including the supervision of outside premium field auditors and inside clerical staff. This position manages the department budget to meet production goals and attainment of services standards and
objectives.
Essential Functions:

• Responsible for Premium Audit production and quality compliance

• Fully participates in the establishment of premium audit goals and manages production and quality to reach those goals

• Assists in defending appeals before regulatory panels and/or NCCI

• Manages all work assignments/tasks for staff and vendors

• Manage NCCI servicing carrier performance standards for assigned risk pool

• Assists internal collection department personnel by reviewing audit results in question, explaining audit calculations and representing the company in legal proceedings

• Manages the business audit portfolio to within the company services standards so as not to age premium beyond the policy contract due date

• Participates in the establishment of the premium audit expense budget and manages actual expenditures according to plan

• Responsible for the development and maintenance of premium audit automation needs and communicates with IT personnel to accomplish successful enhancements and implementation

• Participates in the development of management reports and department metrics

• Directly supervises premium audit staff

• Hire, train, manage and evaluate staff. Actively participates in recruitment, training and development of support staff.
Monitors and evaluates performance of assigned personnel in accordance with company
policies and procedures

Job Qualifications:

Education:

Bachelor’s Degree from and accredited college or university; five years in a related field or the equivalent combination of education and experience

Experience:

Five years of workers’ compensation experience, with 4 years being field audit and management experience

Competencies:

• Knowledge of insurance practices and industry theory; mastery of technical skills related to accomplishment of job

• Excellent customer service skills

• Works well independently as well as a team player; ability to mentor others and teach
best practices

• Ability to guide a team, and work with others to accomplish goals; ability to communicate and interact well with other disciplines; engenders respect from team members.

• Ability to read, interpret, and apply information from a variety of sources such as manuals, professional publications and government regulations; including the ability to seek out such information and be a leader in disseminating information

• Works to prevent disputes before they happen; troubleshoots anticipated issues and implements solutions

• Produces reasonable, clear, and grammatically correct written documents

• Fully prepares for off-site meetings, hearings and presentations

• Appears and conducts oneself in a professional manner at off-site meetings, hearings, and presentations

• Demonstrates strong skills in reasoning and analysis

• Maintains the highest professional standards related to the job

• Good organizational, time management, prioritization, and multitasking skills required

• Demonstrates proficiency at preparing and analyzing statistical data; demonstrates ability to understand data and translate it into directions for directly reporting staff

• Comprehensive mathematical and analytical skills

• Follows through on commitments; is reliable, conscientious and dependable

Acquired/Specific Skills:

• Strong personnel management and communication skills

• Good at analysis of trends and performance

• Shows good judgment and acts as a leader

• Ability to research and resolve difficult technical and or legal issues

• Ability to respond effectively to the most sensitive issues or complaints.

• Must be able to present information and respond to questions from managers, producers and customers

Values and Mission:

Adhere to values and mission by demonstrating Service Excellence, Trust, Ownership, One team and Boldness in thought and action.

Positive Attitude:

Develop and maintain a positive work atmosphere by behaving and communicating in a manner so that you get along with clients, customers, co-workers and management.
Specialized Knowledge, Licenses, etc.:

Demonstrated proficiency in:

• MS Excel

• Windows

• MS Word

• MS PowerPoint

• Keyboarding

• 10-Key

• APA, CIC, and or CPCU preferred

• Additional certifications in areas of specialized work may be required
Working Conditions:

• NEW MEXICO MUTUAL maintains general office conditions with light to moderate physical demands

• Employees of NEW MEXICO MUTUAL adhere to all safety rules and regulations including building security

• Employees participate in ensuring safe and efficient operating conditions that safeguard employees and facilities

• NEW MEXICO MUTUAL maintains a drug free environment; drug testing prior to employment as well as upon a work related
accident

• Exposure to VDT screens

• Occasional travel may be required

Company

New Mexico Mutual

Job Code

State or Province

New Mexico

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