Sharon He Email & Phone Number

San Francisco, Ca, Us

New York, Ny, Us

-Helped Starr transition from using 100% vendors to bringing premium audit in-house -Developed vendor playbook, participated in weekly calls with Sedgwick/EXL to obtain audit statuses and ensure Starr's guidelines for audit quality and timeliness were followed. -Performed quality reviews on workers’ comp audits for test audit states (primarily CA), helped Starr meet CA compliance and get out of remediation. Improved overall accuracy of audits (from 60% fail to 90% pass). -Helped create audit quality standards for in-house team. Serve as the California subject matter expert for Premium Audit, Claims and Underwriting, complete research on classifications and premium audit practices.-Helped improve processing and claims coding procedures, set-up bi-weekly calls with TPA to offer training and knowledge on classifications.-Prepared resources to build an internal premium audit team (from 0 to 15 auditors), including testing/launching Nexus audit software, creating training documents and premium audit new hire training board

New York, Ny, Us

New York, Ny, Us

•Conducted complex multi-state/multi-entity workers’ compensation, GL/auto liability policies for large accounts (payroll size between $5 million to $600 million).•Facilitated the completion of 200 interim/final audits under the Judicial OCIP program. Reviewed policy size and class codes, selected policies for physical audits, tracked progress and handled escalations. Compiled master audit report and summarized local audit findings, communicated results to the OCIP underwriter and broker.•Reviewed California experience rated audits for the West Region (i.e. description of operations, audit classifications, standard exception employees’ duties, principals and dual wage analysis) to ensure audits adhered to USRP Manual rules and AIG’s internal audit procedure. Returned audits for corrections.•Served on the WCIRB manual review team at AIG, reviewed proposed changes to the USRP Manual, and provided feedback and suggestions to the bureau on changes to classification phraseology, wording, or new class codes.•Handled audits with potential fraud issues, worked with Special Investigation Unit (SIU) to uncover fraud, represented AIG in legal proceedings (i.e. served as witness in mediations, trials, provided witness statements to the District Attorney's office and in Dept of Insurance/Dept of Labor & Industrial Relations cases)•Provided training and mentoring to new auditors.

• Completed workers’ compensation, general liability and garage lability audits for various insurance carriers, including Amtrust, Everest, Farmers, Travelers, Old Republic Contractors Insurance Group, etc. Payroll average of $50,000 to $500,000 with premiums up to $300,000. • Toured operations, reviewed employees’ job duties and assigned worker’s compensation and general liability codes based on WCIRB, NCCI & ISO guidelines. Reviewed payroll records and completed audit reports, documented changes to policies and recommended class code changes to carrier underwriters.• Served as trainer and mentor to new auditors.

Bachelor Of Science (B.S.), Managerial Economics

High School Diploma