Senior Premium Insurance Audit Reviewer

🕒 July 22

🇺🇸 United States – Remote

💵 $46.5k - $79k / year

⏰ Full Time

🟠 Senior

🔒 Insurance

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ReSource Pro

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

ReSource Pro is a company dedicated to serving the insurance industry by offering a variety of managed services aimed at improving business operations. With over 20 years of experience, ReSource Pro specializes in transforming insurance operations through solutions that include technology optimization, extending teams with skilled staffing, and enhancing processes for improved productivity. The company serves carriers, MGAs and wholesalers, as well as retail agents and brokers, helping them focus on profitability, compliance, and growth. ReSource Pro is recognized as one of the fastest-growing companies, known for its strategic and innovative approach to insurance services.

📋 Description

• 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.

🎯 Requirements

• 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

🏖️ Benefits

• 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