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Sr. Premium Auditor
Education: BA Degree, Business Administration.
Affiliations: Completion of APA 91 and 92.
Description: Extensive expertise as Workers Comp/General Liability Auditor. Conduct premium audits in field using Visual Audit at businesses and homes of insured’s by matching payroll records, vehicles listings, etc., to workers’ compensation, commercial auto and general liability codes and classifications. Determined accuracy of risk classification through interviews and inspections. Verify federal documents, general ledgers, state unemployment records, etc. in a timely manner. Responsible for entering and transmitting payroll and other data. Utilize approved database system to maintaining accurate record keeping of case activity. Respond to service related issues/concerns within required time frame to meet customer expectations. Develop and maintained strong relationships with customers and business partners by providing positive interaction and assistance whenever necessary. Utilized effective, strong, verbal and written communication, interpersonal, presentation skills. Final preparation of audit reports including details collected during interviewing of insureds. Heavy expertise utilizing Ausum and EZ Audit with extensive travel experience. Demonstrated ability to work independently and be self-sufficient. Benefit Administrator expertise. Conducted periodic medical reviews, ensure appropriate claim administration by reviewing contracts and analyzing claim information. Input claimant medical and demographic data; evaluate claimant eligibility; develop plan to address disability obstacles and plan with claimants, attending physician and employers; monitor medical condition of claimants, discuss return to work with employer. Highly skilled in Microsoft Word, Excel, Access, Outlook, Lotus 1-2-3, Visual Audit/Ausum. Superior customer service and telephone skills. Excels at multi-tasking in a fast-paced environment.
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