Hybrid Senior Agent Auditor bei null

POSITION SUMMARY: The Senior Agent Auditor is responsible for conducting audits to ensure agencies compliance with performance standards, underwriting guidelines, and regulatory requirements. This role utilizes industry-standard audit methodologies and best practices to develop comprehensive audit programs, identify risks, uncover compliance gaps, and provide actionable recommendations. Collaborating with internal teams and external partners, the Senior Agent Auditor drives accountability and enhances the overall quality and effectiveness of underwriting agency audit programs.

ESSENTIAL FUNCTIONS: THE FOLLOWING ARE THE USUAL, BASIC AND ESSENTIAL FUNCTIONS OF THE POSITION. HOWEVER, THIS JOB DESCRIPTION DOES NOT PRECLUDE THE PERFORMANCE OF OTHER DUTIES BY THE INCUMBENT. THESE FUNCTIONS ARE NOT TO BE CONSTRUED AS AN EXHAUSTIVE LIST OF ALL RESPONSIBILITIES, DUTIES, AND SKILLS REQUIRED:

Audit Planning & Execution

• Plan, conduct, and lead audits of insurance agencies, evaluating underwriting accuracy, documentation practices, and operational compliance.
• Apply formal auditing methods and internal control evaluations to identify deficiencies and areas for improvement.
• Contact agencies selected for audit and communicate effectively throughout the audit process, both in writing and verbally.
• Prepare and provide detailed audit reports outlining findings, risks, and required actions to the agency. 
• Develop and track remediation plans and conduct follow-ups to ensure timely and effective resolution of issues.

Documentation, Reporting & Continuous Improvement

• Develop and maintain audit reports and dashboards for internal and external stakeholders.
• Develop, document, and maintain comprehensive audit procedures and risk assessment methodologies. 
• Continuously evaluate and enhance audit programs, tools, and processes to enhance audit quality, effectiveness and consistency.
• Analyze audit trends and metrics to identify areas for process optimization and risk mitigation.

Fraud, Appeals & Complaints Management

• Develop, document, and train Underwriters on the process for reporting suspected fraud to the Special Investigations Unit (SIU).
• Serve as a subject matter advisor for Underwriters with ongoing SIU referral questions.
• Investigate and respond to appeals and complaints from policyholders, agents, and regulatory bodies, including the Texas Department of Insurance.

Cross-Functional Collaboration and Additional Support

• Collaborate with Compliance, Legal, and Underwriting teams to promote awareness of compliance expectations and provide guidance or training as needed.
• Partner with underwriting to develop and ensure implementation of agency and/or policy remediation plans. 
• Recommend, coordinate and support agency training needs identified from audit findings.
• Mentor and support team members, fostering professional development and ensuring consistent application of auditing standards across internal and external audit programs.
• Assist with other departmental support activities as required.

REQUIRED EDUCATION AND EXPERIENCE

• Bachelor’s degree in Business, Finance, Insurance, or related field (or equivalent work experience). 
• Certifications such as Certified Internal Auditor (CIA) or Certified Quality Auditor (CQA). 
• Demonstrated experience in the development of internal or external audit programs, encompassing the establishment of processes for the escalation and/or suspension of users who violate program requirements. Proven track record of conducting audits in regulated environments, such as finance or insurance.

PREFERRED REQUIRED EDUCATION AND EXPERIENCE

• Auditing property & casualty or life insurance agencies. 
• Authoring process documentation, program rules, and reinstatement procedures.
• Minimum 5 years of professional auditing experience, such as internal audit, regulatory auditing, or internal controls assurance.
• Proven experience with fraud detection and awareness 
• Texas Department of Insurance (TDI) process for complaints and responses

KNOWLEDGE, SKILLS, AND ABILITIES

• Excellent communication and interpersonal abilities, with the capacity to influence and collaborate across teams.
• Strong analytical, organizational, and problem-solving skills.
• Self-starter with the ability to work independently and manage multiple audits simultaneously.
• Strong conflict management skills with ability to develop and maintain good working relationships with internal and external customers
• Knowledge of procedural audit process with an ability to review and understand insurance applications, policies and related materials. Ability to accurately document findings and clearly present results.
• Proficient in audit management software and Microsoft Office Suite

PHYSICAL REQUIREMENTS: This position requires the ability to sit for long periods of time, hear and converse over the telephone, and key frequently on a computer (4 or more hours per day).