Premium Audit Jobs in Baltimore, MD
A Premium Auditor serves a pivotal role in the insurance industry by determining the final earned premium for policyholders. This job requires a detailed examination of a policyholder's operations, records, and books to assess the actual exposure and ensure accurate premium calculation. Premium Auditors verify that the classifications and exposure basis applied to a policy accurately reflect the insured's operations. Their duties involve conducting both physical audits (on-site) and virtual audits, providing customer service, and preparing detailed audit reports.
Potential Premium Auditors should ideally possess a background in accounting, finance, or a related field, as well as a keen understanding of insurance coverages. They must have strong analytical, communication, and customer service skills. Additionally, a Certified Insurance Premium Auditor (CIPA) or Certified Premium Auditor Specialist (CPAS) certification could enhance their credibility. Prior to becoming a Premium Auditor, one might have roles such as an Insurance Underwriter, Claims Adjuster, or an Insurance Sales Agent, which provide a strong foundation in understanding insurance policies and procedures.
HCC Risk Adjustment Auditor - Full Time - Remote
- Annapolis, MD (21 miles from Baltimore, MD)
- 15 hours ago
- Annapolis, MD (21 miles from Baltimore, MD)
- 15 hours ago
Datavant is a data platform company and the worlds leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right...
Remote Work- Greenbelt, MD (24 miles from Baltimore, MD)
- 15 hours ago
- Greenbelt, MD (24 miles from Baltimore, MD)
- 15 hours ago
Summary Reemployed annuitant: This vacancy does not meet the criteria for appointment of annuitants. This is an open-continuous announcement with an established initial cut-off date of 8/16/2025....
Clinical Provider Auditor II - Maryland Behavioral Health
- Hanover, MD (10 miles from Baltimore, MD)
- 3 days ago
- Hanover, MD (10 miles from Baltimore, MD)
- 3 days ago
Anticipated End Date: 2025-08-29 Position Title: Clinical Provider Auditor II - Maryland Behavioral Health Job Description: Clinical Provider Auditor II Supports the Payment Integrity line of...
Sr Compliance RCM & Coding Auditor
- Annapolis, MD (21 miles from Baltimore, MD)
- 3 days ago
- Annapolis, MD (21 miles from Baltimore, MD)
- 3 days ago
Become a part of our caring community and help us put health first** CenterWell Senior Primary Care (PCO) is a growing provider organization that currently operates about 340+ senior focused...
Remote WorkQA Technician AUDITOR/INSPECTOR - 2nd Shift
- Sparrows Point, MD (11 miles from Baltimore, MD)
- 4 days ago
- Sparrows Point, MD (11 miles from Baltimore, MD)
- 4 days ago
McCormick & Company, Inc., a global leader in the spice, flavor, and seasonings industry, is seeking a full-time Quality Technician. This new hire will work in Maryland Logistics Center, located...
Diagnosis Related Group Clinical Validation Auditor-RN
- Hanover, MD (10 miles from Baltimore, MD)
- 15 days ago
- Hanover, MD (10 miles from Baltimore, MD)
- 15 days ago
Anticipated End Date: 2025-08-15 Position Title: Diagnosis Related Group Clinical Validation Auditor-RN Job Description: Diagnosis Related Group Clinical Validation Auditor-RN Virtual: This role...
- Fort Meade, MD (16 miles from Baltimore, MD)
- 16 days ago
- Fort Meade, MD (16 miles from Baltimore, MD)
- 16 days ago
IT Supervisory Senior Auditor (US Fort Meade, MD ) What to expect when you join the Sikich family Team members at Sikich have a lot in common while also being part of a rich and varied group of...
- Fort Meade, MD (16 miles from Baltimore, MD)
- 16 days ago
- Fort Meade, MD (16 miles from Baltimore, MD)
- 16 days ago
IT Senior Auditor (US Fort Meade, MD ) What to expect when you join the Sikich family Team members at Sikich have a lot in common while also being part of a rich and varied group of contributors,...
Quality Assurance (BlueCard) LOS- Auditor (Remote)
- Baltimore, MD
- 16 days ago
- Baltimore, MD
- 16 days ago
Resp & Qualifications** **PURPOSE:** Responsible for systematic investigations of BlueCard-related transactions in a specific area of operations (i.e., claims, customer service) within the...
Remote WorkResponsibilities include: * Conduct premium audits in compliance with established policies and guidelines and industry standards * Provide routine auditing support to premium fraud on selected accounts...
- Hanover, MD (10 miles from Baltimore, MD)
- 16 days ago
- Hanover, MD (10 miles from Baltimore, MD)
- 16 days ago
Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1:** This role requires associates to be in-office **1-2** days per week, fostering collaboration and...
- Columbia, MD (15 miles from Baltimore, MD)
- 19 days ago
- Columbia, MD (15 miles from Baltimore, MD)
- 19 days ago
If you have a passion for accounting work but prefer the flexibility of not being tied to a desk, insurance premium auditing could be a great fit for you!...
Remote WorkSenior Premium Auditor Associate - Maryland Region
- Baltimore, MD
- 45+ days ago
- Baltimore, MD
- 45+ days ago
Conduct audits of moderately complex Commercial Lines policies (i.e., Workers Compensation, General Liability, Auto, etc.) through interview, review, and verification of the customers business operations...
Job Details Job Location : Baltimore MD - Baltimore, MD Position Type : Full Time / Part Time Salary Range : Undisclosed Job Shift : Mornings / Second Shift / Evening Job Category : Customer...
- Hanover, MD (10 miles from Baltimore, MD)
- 90+ days ago
- Hanover, MD (10 miles from Baltimore, MD)
- 90+ days ago
Anticipated End Date: 2025-08-22 Position Title: DRG Coding Auditor Job Description: DRG CODING AUDITOR Virtual: This role enables associates to work virtually full-time, with the exception of...
Demographic Data for Baltimore, MD
Moving to Baltimore, MD? Find some basic demographic data about Baltimore, MD below.
Premium Audit Online Courses and Training Opportunities
Title Synonyms
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Salary for Premium Audit Jobs in Baltimore, MD
Required or preferred licenses and certifications for Premium Audit positions.
Highest Education Level
Premium Audits in Baltimore, MD offer the following education backgroundQualifications / Skill Sets
The following top skills are often required or desired to land a Premium Audit position
- CPA
- Regulations
- ICD-9 Coding
- Sarbanes-Oxley Compliance
- ICD-10 Coding
- Generally Accepted Auditing Standards
- Education Experience
- Certified Fraud Examiner
- Certified Internal Auditor
- COSO
- IT Audit
- Certified Information Systems Auditor
- Defense Contract Audit Agency
- Internal Audits
- General Liability
- Bodily Injury
- Property and Casualty Insurance
- Loss Control
- Premium Audit
- Medical Claims
- Claims Processing
- Internal Control
- Underwriting
- Accounting Software
- Claims
- Workers' Compensation
- Financial Services
- Financial Planning and Analysis
- Fraud Investigation
- Accounts Receivable
- Reimbursement
- Risk Management
- Billing
- Finance
- Military Background
- Analytical Skills
- Auditing
- Payroll
- Accounting
- High School Diploma
- Driving
- Investigation
- Written Communication
- Writing Skills
- Documentation
- Flexibility
- Reporting
- Collaboration
- Policy Development
- Problem Solving
- Microsoft Office
- Microsoft Excel
- Time Management
- Staff Supervision
- Organization
- Customer Service
- Scheduling
- Computer Skills
- Leadership
- Communication Skills
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