Job Details
Premium Audit Quality Reviewer
Insurance Premium Audit Quality Reviewer
Sedgwick has more than 50 years of experience helping organizations navigate the increasingly complex risk and productivity management environment. We consistently deliver accurate, reliable and timely premium audit results — performing more than 43,000 premium audits in 2020. We enlist our network of independent quality reviewers for assignments nationwide.
Essential Functions and Responsibilities
Individuals with a solid grasp of insurance premium audits may choose to become one of Sedgwick’s 1099 quality reviewers who work to ensure compliance with state regulatory requirements. Our contractors in those roles review insurance premium audit data such as proper class codes, specific client requirements, & grammatical errors.
Generally, assignments fall under Worker’s Compensation, general liability, as well as garage and auto liability. Our team provides various types of audits including:
- Physical – Ideal for complex or large accounts, test audit states, new businesses or businesses undergoing changes in operations or scope
- Virtual – Meets the requirements for a physical audit and offers a cost-effective option in cases where electronic records are preferred
- Telephone – Ideal for smaller or less complex policies and accounts with a consistent history of audited exposure
- Voluntary – Suitable for small policies with few employees, one or two class codes and straightforward operations for insurance premium audit
NOTE: The number of assignments and frequency of them may vary depending upon geographical location. Sedgwick assigns work based on skill set and capacity requirements.
Quality Reviewers are paid as 1099 contractors via a pay scale that ranges based on the client.
QUALIFICATIONS
Minimum Requirements
- Minimum of two years’ experience within the insurance premium audit industry and knowledge of all lines of coverage including Workers' Compensation, General Liability, Auto and Garage for all states
- Ability to organize and manage assignments and work a flexible, on-demand schedule, including availability during regular business hours throughout the work week
- Ability to maintain product quality according to industry standards and specific client requirements
- Equipment (provided by contractor): reliable transportation to drive to/from assignments as well as PC, laptop, or smart device with Microsoft Word, and scanner or fax along with high-speed internet access
Education
- HS diploma or GED required
Skills and Knowledge
- Self-starter with ability to work individually under limited and remote supervision
- Ability to meet deadlines
- PC literate, including Microsoft Office products
- Exceptional verbal and written communication and consultative skills
- Professional conduct and excellent interpersonal skills
- Strong analytical and interpretive skills
- Industry designation such as APA, CIPA, or CPCU preferred along with any other relevant licenses and/or certifications are a plus
NOTE: A background screening is required for this position.
The statements contained in this document are intended to describe the general nature and level of work being performed by a contractor assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains discretion to add or to change the duties of the position at any time.