Auditor III

San Francisco, CA

Employers Insurance Group

Duties and Responsibilities

1. Prioritize and schedule assigned audits.
2. Review audit case information and obtain additional background information as necessary to conduct audits assigned.
3. Conduct physical audits –

                           I.      Review insured’s payroll records, financial statements and tax records

                         II.      Conduct entrance interview and exit review of discrepancies and variation

                        III.      Visually inspect workplace(s) to validate employee classifications, etc.

4. Review claims to verify employment, proper classification coding and proper allocation of payroll.
5. Document audit in compliance with company policies and standards.
6. Report changes in policy information, financial condition, operations or any fact that may affect the insurability of the policyholder.
7. Consistently complete assigned work exceeding established company standards for quality, timeliness and production.
8. Provide training and technical assistance to underwriters and less experienced auditors.
9. Respond to audit questions and handle disputes in a timely manner.
10. Assist less experienced auditors in the handling of disputes.
11. Advise and counsels the policyholder on proper method of payroll segregation and any payroll exclusions applicable.
12. Maintain a thorough knowledge of manual rules, state regulations, and company standards and procedures.
13. Represent the company at legal proceedings.
14. Performs other duties as assigned.

Minimum Qualifications

WORKING CONDITIONS

• Some travel is required either to other office locations or to outsides offices generally up to 50% of the time.

 MINIMUM QUALIFICATIONS / KNOWLEDGE, SKILLS & ABILITIES

• Excellent knowledge of home state manual rules (WCIRB or NCCI) and applicable state exceptions.
• Thorough knowledge of other states manual rules and applicable state exceptions.
• Ten (10) years prior experience in workers’ compensation premium audit, with at least three (3) years in a Field Auditor III or equivalent position.
• Valid state drivers license and acceptable driving record.
• Ability to effectively use a PC on the job for e-mail, spreadsheet and word processing tasks.
• Excellent written and oral communication skills.

The specific statements shown in each section of this description are not intended to be all-inclusive.  They represent typical elements and criteria necessary to successfully perform the job.   There may be times when, at management’s discretion, you will be expected to perform additional assignments that are necessary for business reasons.