Premium Auditor

Job Category: auditor
Job Type: Full Time
Job Location: United States
Company Name: Ullico Inc.

Company Overview

For more than 90 years, Ullico Inc. has served the union workplace. From insurance products for union members and innovative risk management solutions for contractors and employers, to investments in commercial real estate projects that have created thousands of union jobs, Ullico is a proud partner of the American worker. Ullico Inc. is an insurance and financial services holding company whose subsidiary companies include The Union Labor Life Insurance Company; Ullico Investment Advisors Inc.; Ullico Investment Company, LLC; and Ullico Casualty Group LLC. Headquartered in Washington, D.C., Ullico Inc. also has regional offices in New York, Chicago, San Francisco and Silver Spring, Md. It is the only insurance and investment company that is labor-owned, which is why union members and employers across America trust Ullico with protecting their families, employees, businesses and investments.

About the job
Ullico Inc. is actively recruiting a Premium Auditor. This dynamic candidate will perform premium audit functions and provide customer service by acting as liaison between the Fund/TPA/Broker/Consultant and Ullico and serve as the point of contact for:

Fund issues/concerns; follow up with resolutions in a timely manner;
Assist new clients with questions regarding all phases of group insurance administration as well as details of the policy;
Assist the Underwriting Department with obtaining census information and questions regarding membership counts/concerns;
Accompany Sales/Account Executives/Underwriters and other Ullico personnel to clients when necessary;
Follow up site visits/conference calls with Fund/Broker/TPA/consultant;
Perform service calls to rectify numerous situations as they develop.

Job Duties/Responsibilities are as follows:

 

Logistically plan & schedule audits throughout the entire U.S. in a timely and most cost effective manner within the approved budget.

Perform electronic and/or on-site premium and eligibility audits at self-administered Policy Holders and third party administrators of policies of all types of Life and Health product. Also perform on-site audit or service calls as directed by managers of Eligibility, Premium Billing or Underwriting Departments as needed.

Review policies thoroughly prior to the audit to discover any misunderstanding or misinterpretation by Fund/TPA/Broker/Consultant/Home Office when on-site review administrator’s administrative procedures, controls and systems as they relate to premium/fees and claims; suggest changes and improvements; review policies in force for correctness and request a Notice of Change be issued if needed.

Obtain, review and analyze necessary data at the audit site to compile Earned vs. Paid Premium/Fee Analysis and lives verification for Aggregate Stop Loss groups.

Verify claims paid in accordance with Office of Foreign Assets Control (OFAC) and Child Support Lien Network (CSLN) regulations when applicable for groups and third party administrators paying claims on the Company’s behalf; verify security and number of the Company’s drafts on hand.

Assist Premium Billing Department with collection and adjustments of premium to ensure prompt collection and follow up, as well as obtaining Lives by Location information for Premium Billing.

Assist Stop Loss Claim Department with review of claims and potential claimant(s) in ESL to make sure attachment points and laser attachment points have been applied correctly by the Company’s Home Office and the client/ claims payer. If needed, assist in collection of necessary documents in order to process a claim (eligibility, SPD, claims, etc).

Protect all data received from Fund, TPA or the Company in accordance with Company’s HIPAA policy.

Protect all equipment issued by the Company (laptop, cell phone, etc.) in accordance with Company’s HIPAA policy.

Obtain and/or verify that 50% Stop Loss notifications are being sent to the Stop Loss department.

Assist in maintaining accurate and complete database for reporting audit results.

 

MINIMUM QUALIFICATIONS:

The successful candidate will have a Bachelor’s Degree in Accounting, Finance or related field with three to five years of auditing experience. Must be able to travel 60% but varies throughout the year. Excellent written and oral communication skills and attention to detail are critical for this role. Must have the ability to present ideas and concepts effectively across organizational levels. Proficiency in the Microsoft Office suite including Word and Excel is required.

 

For over 95 years, Ullico, the only labor-owned insurance and investment company, has been a proud partner of the labor movement. From insurance products for members, leaders and employers, to investments that have created thousands of union jobs, our customers continue to count on Ullico to protect them. The Ullico Inc. family of companies includes The Union Labor Life Insurance Company; Ullico Casualty Group, Inc.; Ullico Investment Company, Inc.; and Ullico Investment Advisors, Inc. Visit www.ullico.com.

 

 

We offer a competitive starting salary and an outstanding benefits package including:

 

Health/Dental/Vision

Pension

401K

Health Savings Account

Life Insurance

Paid Time Off

Ullico is an Equal Opportunity Employer.

This organization participates in E-Verify.

Salary Range: $59,000.00 – $73,900.00 (depending on relevant experience, skills, and credentials). This position is eligible to participate in Ullico Inc.’s (“Ullico”) annual incentive compensation program. An incentive award is contingent upon Ullico meeting financial goals set by the Ullico Board of Directors and your individual performance. The elements of the program, including eligibility, the range of potential incentive compensation, and the factors that determine the payment, will be shared with you after you become employed.

How to Apply:

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