Sr. Underwriting Compliance Auditor

About the Role

BlueCross BlueShield of Tennessee is seeking a Sr. Underwriting Compliance Auditor to join their remote-first team. This role is crucial in supporting the well-being of their 3.4 million customers.

Key Responsibilities

The Sr. Underwriting Compliance Auditor will:

• Conduct thorough audits of underwriting files, including applications, tax documentation, financial statements, and supporting records.
• Review various tax forms (e.g., wage reports, payroll records, business tax filings) to validate group eligibility, enrollment, or rating criteria.
• Ensure all underwriting decisions strictly adhere to internal guidelines, regulatory standards, and compliance policies.
• Identify and document any discrepancies, documentation gaps, errors, or policy exceptions in underwriting determinations.
• Clearly communicate audit findings and recommended corrective actions to Marketing, Underwriting, Compliance, and leadership teams.
• Maintain comprehensive audit workpapers and document findings meticulously.
• Support follow-up audits, corrective action plans, and appeals or reconsiderations.
• Stay current with underwriting rules, tax documentation requirements, and regulatory changes (ACA, ERISA, TN state law, IRS rules).
• Track audit trends and propose improvements to processes or training.
• Mentor and assist other Underwriting Auditors with complex audits and conduct quality audits using defined metrics.

Qualifications

Education

• High School Diploma or equivalent.

Experience

• 3 years of experience in underwriting, underwriting audit, compliance, quality review, and/or basic business employee tax filing requirements/accounting/payroll.

Skills

• High attention to detail and accuracy.
• Ability to interpret and apply underwriting guidelines and policies.
• Capacity to work independently while managing multiple audits and deadlines.
• Strong written and verbal communication skills.
• Proficiency in Microsoft Office Suite (Outlook, Word, Excel).
• Internal candidates with FACETS experience are preferred.

Additional Information

• This is a remote role with occasional travel to BCBST headquarters in Chattanooga, TN.
• Sponsorship is not available for this position.
• BCBST fosters a culture of innovation, encouraging the responsible use of AI-enabled tools.
• BCBST hires employees for remote positions from across the U.S., with exceptions for California, Massachusetts, New Hampshire, New Jersey, and New York.

About BlueCross BlueShield of Tennessee

As Tennessee's largest health benefit plan company since 1945, BCBST is dedicated to improving the health and well-being of its members and communities. They foster a culture where employees can thrive, embracing teamwork, accountability, and innovation.

Equal Employment Opportunity

BCBST is an equal opportunity employer committed to diversity and inclusion. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, citizenship, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.

Note: BCBST is not accepting unsolicited assistance from search firms for this employment opportunity.