This individual will review, classify, compute, and process the routinely assigned policies through physical audits with members, agents and accountants for the basic lines of coverage to determine the individual risk exposures. S/he will conduct on-site, in person audits with insureds, accountants, and/or agents to obtain audit figures in order to determine the actual earned premium, and will handle the more general member and agent audit disputes by providing detailed audit classification and exposure analysis and explanations.

This is a work-from-home position involving heavy travel to standard commercial lines insureds’ locations within the respective territory, typically 4-5 days per week.  Includes virtual audits, depending on capacity and business needs.  Company car eligible. 

Territory: Northern New Jersey and possible NYC depending on business needs.

Key duties include:

-  Conduct on-site visits of insureds, accountants, and proxies. Review and analyze policyholder operational and financial information necessary to properly classify risk, identify exposure, and compute the premium. Financial information may be obtained from a review of income tax returns, business financial statements, state unemployment records, quarterly state filings, etc.

-  Perform analysis of audit results to ensure accuracy and compliance with state and bureau requirements. When necessary, may travel as a Company representative with full authority for settlement in trials, arbitration, settlement hearings and depositions pertaining to audit premium due.

Candidates must be tech-savvy/proficient, especially with MS Excel and other Microsoft products, and have strong time management ability.  The ideal candidate will have at least 5 years of experience in field premium audit.  Experience working directly for the carrier and the APA designation are preferred. 

Compensation Grade: E3

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Job Description Summary

Our top performers think strategically, understand insurance premium dynamics and know how to build great partnership relationships. We value our customers and use analytics, financial information, data and outstanding service to bring value to every interaction. Our associates enjoy the fast-paced, diverse experience that they receive. If this sounds like a place where you would thrive, we want to know more about you!

As a Specialist, you'll monitor vendor productivity of all audits within external collection. We'll count on you to perform complex work. This may include on-site audits with customers. You'll help the manager plan and organize workflow, projects and objectives daily. In addition, you'll provide technical, analytical and administrative support to staff and help monitor and coordinate the department's relationships and workflow with other units and customers.

Job Description

Key Responsibilities:

• Responds to audit problems for agents, policyholders and attorneys. Assists the manager with implementation of premium audit processes and procedures.

• Analyzes and audits files to ensure accuracy and compliance with filings. Works with commercial underwriting to ensure the premium audit is completed, timely and accurately, as well as provides pertinent underwriting information. When needed, travels as a company representative with full authority for settlement in trials, arbitrations, settlement hearings and depositions about audit premium due.

• Analyzes, processes and reviews financial audits completed by either voluntary audit forms submitted from the insured, telephone audit documentation completed by internal audit staff, physical audits completed by outside auditing firms, or by personally conducting on-site audits at the customer's location. Evaluates for accurate classification, rates and applicable policy provisions. Analyzes, reviews and processes additional premium endorsements which result in non-pay cancellation as a direct result of a mid-term audit, final audits on prior policies, inspections or routine endorsements processed during the policy term.

• Reviews dispute information and certificates of insurance received from general agents, policyholders or brokers contesting an audit after it has been sent out for billing. Analyzes the submitted information for relevance and appropriate documentation by interpreting financial documents, federal tax returns, workers compensation audits, quarterly reports and/or state unemployment records. Decides if dispute information is valid to warrant a revision up to pre-established authority.

• Reviews all additional or return premium audits over a specified limit as a quality and quantity control measure. Verifies the reason the additional or return premium was generated and notifies Underwriting and agent of audit results.

• Trains new and current audit staff and provides updates about new products and programs. Completes quality and quantity measurements for continuity of procedures and training of personnel according to company and department guidelines.

• Assists Premium Auditors with resolution of complex problems. Assists Manager with production goals, workflow guidelines and monthly report package.

• Participates in special projects as assigned by management.

May perform other responsibilities as assigned.

Reporting Relationships: Reports to Supervisor/Manager.

Typical Skills and Experiences:

Education: High school diploma or GED required. Undergraduate degree in business administration with an emphasis in accounting/finance preferred.

Experience: Five years of related experience in premium audits and accounting. Experience in leading premium audits and/or training audit associates preferred.

Licenses/Designations/Certifications: Completion of technical insurance courses such as IIA and Technical Achievement Program (TAP) or progress toward technical insurance designations such as CPCU preferred.

Knowledge, Abilities and Skills: Knowledge of assigned line of business and agents receivables required. Proven understanding of the regulatory climate in audits preferred. Knowledge of bureau and company rating coding systems, policy issuance procedures, bureau rating manuals and circulars. Knowledge of insurance agency accounting and accounting cycle. Knowledge of all property/casualty policies and all forms. Excellent verbal and written communication skills to interact with agents, attorneys, policyholders and others, using tact and diplomacy. Ability to accurately work with numbers; ability to interpret and apply auditing rules and regulations.

Other criteria, including leadership skills, competencies and experiences may take precedence.

Staffing exceptions to the above must be approved by the hiring manager’s leader and HR Business Partner.

Values: Regularly and consistently demonstrates the Nationwide Values.

Job Conditions:

Overtime Eligibility: Exempt (Not eligible)

Working Conditions: Normal office environment. Must be able to work outside of the normal workday, including occasional weekends to meet deadlines and complete special projects; handle a high volume and variety of work within time constraints; some out-of-state business travel. Must have a valid driver’s license with satisfactory driving record in accordance with Nationwide standards. 

ADA: The above statements cover what are generally believed to the principal and essential function of this job. Specific circumstances may allow or require some associated assigned to the job to perform a somewhat different combination of duties.