Job Description

Job Title: Premium Insurance Field Auditor

Location: Chicago, IL

Base Pay Range

$60,000.00/yr - $74,000.00/yr

Additional Compensation Types

Annual Bonus

MUST RESIDE IN: Illinois, Michigan, Iowa, Nebraska, Indiana, Ohio, Minnesota, and Missouri

Job Duties/Responsibilities

• Logistically plan & schedule audits throughout the entire U.S. in a timely and cost-effective manner within the approved budget.
• Perform electronic and/or on-site premium and eligibility audits at self-administered Policy Holders and third-party administrators of policies of all types of Life and Health products.
• Review policies thoroughly prior to the audit to discover any misunderstanding or misinterpretation by Fund/TPA/Broker/Consultant/Home Office.
• Obtain, review and analyze necessary data at the audit site to compile Earned vs. Paid Premium/Fee Analysis and lives verification for Aggregate Stop Loss groups.
• Verify claims paid in accordance with Office of Foreign Assets Control (OFAC) and Child Support Lien Network (CSLN) regulations.
• Assist Premium Billing Department with collection and adjustments of premium.
• Assist Stop Loss Claim Department with review of claims and potential claimants.
• Protect all data received from Fund, TPA or the Company in accordance with Companys HIPAA policy.
• Protect all equipment issued by the Company in accordance with Companys HIPAA policy.
• Obtain and/or verify that 50% Stop Loss notifications are being sent to the Stop Loss department.
• Assist in maintaining an accurate and complete database for reporting audit results.

Minimum Qualifications

The successful candidate will have a Bachelors Degree in Accounting, Finance or related field with three to five years of auditing experience. Must be able to travel 60% but varies throughout the year. Excellent written and oral communication skills and attention to detail are critical for this role. Must have the ability to present ideas and concepts effectively across organizational levels. Proficiency in the Microsoft Office suite including Word and Excel is required.

Seniority Level

Associate

Employment Type

Full-time

Job Function

Accounting/Auditing, Finance, and Analyst

Industries

Insurance and Employee Benefit Funds, Insurance, and Financial Services

Inferred Benefits

• Medical insurance
• Vision insurance
• 401(k)
• Tuition assistance

Job Tags

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