Sr. Underwriting Compliance Auditor

BlueCross BlueShield of Tennessee is recruiting top talent to join our Underwriting Compliance Auditor organization. On these remote-first teams, you'll play a critical role in supporting the well-being of our 3.4 million customers.We're considering candidates for the Sr. Underwriting Compliance Auditor role. Whether you’re early in your career or bring years of specialized experience, we want to hear from you.The Sr. Underwriting Compliance Auditor supports the underwriting audit function by reviewing underwriting files and group tax documentation to ensure accuracy, completeness and compliance with underwriting guidelines, regulatory requirements and internal policies. This role is ideal for individuals who are highly detail-oriented and interested in building a career in underwriting, compliance or audit operations.What We'd Be Excited to See:Strong attention to detail with the ability to review complex information accuratelyAbility to follow established procedures and apply guidelines consistentlyStrong written and verbal communication skillsAbility to manage multiple tasks while meeting deadlinesExperience in healthcare underwriting, underwriting audit, compliance, quality review, and/or basic business employee tax filing requirements/accounting/payroll experienceInternal candidates with FACETS experience.Note:This is a remote role with occasional travel to BCBST headquarters in Chattanooga, TN.Sponsorship is not available for this role.We foster a culture where innovation is encouraged. That includes using AI enabled tools responsibly to support everyday work — guided by proven workflows, templates, and policies. As roles become more advanced, we expect employees to leverage AI more broadly to transform how we serve membersJob ResponsibilitiesConduct audits of underwriting files, including applications, tax documentation, financial statements, and supporting recordsReview tax forms (e.g., wage reports, payroll records, business tax filings) to validate group eligibility, enrollment, or rating criteriaEnsure underwriting decisions comply with internal guidelines, regulatory standards, and compliance policiesIdentify discrepancies, documentation gaps, errors, or policy exceptions in underwriting determinationsCommunicate audit results to Marketing, Underwriting, compliance, and leadership teams, including recommended corrective actionsDocument audit findings clearly and maintain complete audit workpapersSupport follow‑up audits, corrective action plans, and appeals or reconsiderationsMaintain knowledge of underwriting rules, tax documentation requirements, and regulatory changes (i.e. ACA, ERISA, TN state law, IRS rules)Track audit trends and recommend process improvements or training opportunitiesMentor and assist Underwriting Auditors with complex and sensitive audits as well as assist with quality audits of other auditors using quality-related metrics.Job Qualifications EducationHigh School Diploma or equivalentExperience3 years – Experience in underwriting, underwriting audit, compliance, quality review, and/or basic business employee tax filing requirements/accounting/payroll experience Skills/CertificationsHigh attention to detail and accuracyAbility to interpret and apply underwriting guidelines and policiesAbility to work independently while managing multiple audits/deadlinesStrong written and verbal communication skillsProficiency in Microsoft Office (Outlook, Word, Excel)Number of Openings Available1Worker Type:EmployeeCompany:BCBST BlueCross BlueShield of Tennessee, Inc.Applying for this job indicates your acknowledgement and understanding of the following statements:BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:BCBST's EEO Policies/NoticesBlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.