Senior Premium Insurance Audit Reviewer

🕒 Julho 22

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $46.518 - $78.967 / ano

⏰ Tempo Integral

🟠 Sênior

🔒 Seguros

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ReSource Pro

SiteLinkedInTodas as Vagas

5001 - 10000 funcionários

💼 Consultoria

📦 Logística

🏥 Saúde

Consulting • Logistics • Healthcare

A ReSource Pro é uma empresa dedicada a atender o setor de seguros, oferecendo uma variedade de managed services voltados a melhorar as operações de negócios. Com mais de 20 anos de experiência, a ReSource Pro é especializada em transformar operações de seguros por meio de soluções que incluem otimização de tecnologia, ampliação de equipes com staffing especializado e aprimoramento de processos para aumentar a produtividade. A empresa atende seguradoras, MGAs e wholesale brokers, assim como agentes de varejo e corretores de seguros, ajudando-os a focar em lucratividade, compliance e crescimento. A ReSource Pro é reconhecida como uma das empresas que mais crescem, conhecida por sua abordagem estratégica e inovadora em serviços para o mercado de seguros.

Descrição

• Perform audit reviews across all audit types, focusing on oldest audits in the queue; provide coverage for reviewers. • Conduct secondary reviews for paid review accounts; perform higher-level audit reviews requiring advanced quality assurance expertise. • Monitor audit queues and assist in resolving audit bottlenecks. • Review self-review audits submitted directly to billing to ensure they meet self-review eligibility and quality requirements and monitor audit reports to detect trends or recurring issues. • Track carrier return data and recommend process improvements. • Collaborate with leadership on quality monitoring strategies and data analysis. • Pull and analyze audit files to identify performance strengths and gaps. • Share review results with leadership for delivery to the auditor who completed the original audit. • Conduct reviews of test audits for designated carriers within the test audit program. • Support onboarding of new reviewers by providing shadowing opportunities and ongoing mentorship via chat. • Fill in on live learning platforms such as Zoom or Learning Academy, as well as any other area within the team, to support team initiatives. • Support a positive workplace culture by promoting open, solution-oriented communication, encouraging teamwork, and maintaining a focus on shared goals and productivity.

🎯 Requisitos

• High School Diploma or equivalent • 5+ years of reviewing audits experience or a combination of reviewing and premium auditing (e.g. worker's compensation, general liability) • WCIRB CompEssentials certification preferred • Experience with Nexus or other audit management platforms • Ability to learn and adapt quickly in a fast-paced environment • Microsoft Office proficiency • Excellent ability to navigate change

🏖️ Benefícios

• 100% paid employee health insurance available on Day 1 • Eligible for all medical, dental, and vision benefits on Day 1 • Remote positions are Internet stipend-eligible • 401k with employer match, vested on Day 1 • HSA/FSA available • Long Term and short-term disability employer-provided • Generous PTO plan with paid holidays + floating holidays • Development and growth opportunities • Comprehensive wellness program and prioritization of employee health