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About the Role

The Premium Audit team plays a major role in creating a stronger, safer Texas by determining the final premium for policyholders at the conclusion of each policy term.

Responsibilities

• Determine the policyholder's true earned workers' compensation premium.
• Conduct reviews, interviews and audits on the policyholder’s premises.
• Analyze the policyholder's financial reconciliations to ensure they match.
• Compare the policyholder's payroll records with the estimated or actual payroll reported.
• Determine the appropriate job classification codes for the policyholder's employees by reviewing the workforce and interviewing the policyholder.
• Reconcile the appropriate job classification code with the code reported and adjusting premium accordingly.
• Determine scope of operations by reviewing contracts between the policyholder and other entities and applying IRS revenue rulings and workers' compensation statutes and rules to determine whether a true independent contractor relationship exists versus common law employee status.
• Apply the Texas Basic Manual Rules, Classifications and Rates for Workers' Compensation to the information obtained from the audit to determine the proper premium basis.
• Provide professional and technical explanations to policyholders and agents concerning proper classifications as to the policyholder's operations.
• Communicate information in a highly professional manner both verbally and in writing to policyholders, agents and other customers (both internal and external).
• Recommend proper accounting procedures to policyholders.
• Identify potential premium fraud by policyholders and forwards fraud referrals to the Special Investigations Department.
• Contribute to the effectiveness of Underwriting and Safety Services by conveying physical, financial and other pertinent information gained or determined by analysis of the policyholder's operations and financial structure.
• Provide advanced premium audit expertise to staff, management, policyholders, and agents.
• Train staff, policyholders, and agents on auditing as requested.
• Serve as a subject matter expert on projects and process discussions.
• Recommend and document premium audit procedures.
• Assist management in coordinating departmental workflow, staff, and resources.
• Consult on complex premium audit matters.

Requirements

• Bachelor's degree or equivalent education, training and experience.
• At least two years’ premium audit experience or equivalent education, training and experience for non-senior role and at least four years of premium audit experience for senior role.
• Knowledge of underwriting principles and procedures, the NCCI Basic Manual of rules and Texas labor codes.
• Valid Texas driver’s license.
• Texas residency required.
• Must travel to designated office as needed.

Skills

• Premium audit expertise
• Underwriting principles and procedures
• NCCI Basic Manual of rules
• Texas labor codes
• Verbal communication
• Written communication
• Accounting procedures
• Premium fraud identification
• Process improvement

Location

• Texas

Work Type

• Flex-Hybrid

Experience Level

• Non-senior role: At least two years’ premium audit experience
• Senior role: At least four years of premium audit experience

Education Level

• Bachelor's degree or equivalent education, training and experience

Salary/Compensations

• $37.02 - $55.33 Per Hour

Benefits

• Annual performance bonus
• Merit-based pay increase
• Lifestyle Savings Account ($1,000 per year)
• Automatic 4% employer contribution to retirement plan
• 401k plan with 100% employer match up to 6%
• Student loan repayment matching in 401k plan
• Three weeks’ time off for vacation
• Nine paid holidays and two personal days each year
• Day one health, Rx, vision and dental insurance
• Life and disability insurance
• Flexible spending account
• Pet insurance and pet Rx discounts
• Free on-site gym, fitness classes, and health and wellness resources
• Free identity theft protection
• Free student loan repayment and refinancing consultation
• Professional development and tuition reimbursement
• Employee referral bonus
• Free onsite snacks

About the Company

• Texas Mutual Insurance Company is the state's leading choice for workers' compensation insurance, with over 40 percent of the market.
• Thousands of Texas businesses rely on us to help them control their workers' comp costs, protect their employees, and ensure their injured workers receive quality care.
• Preventing workplace accidents is a foundation of our mission.
• We have frequently been named one of the Best Companies to Work for in Texas.
• Our competitive salaries, award-winning benefits package, and employee recognition programs are just a few of the reasons our average employee tenure is 10 years.

Equal Opportunity

• All qualified applicants are encouraged to apply and will receive consideration for employment without regard to age, race, color, national origin, religion, sex, gender identity, sexual orientation, genetic information, veteran status, or any other basis protected by local, state, or federal law.