Senior Stop Loss Claims Auditor

Job not on LinkedIn

November 14

Apply Now
Logo of Risk Strategies Company

Risk Strategies Company

Enterprise • Finance • Insurance

Risk Strategies Company is a comprehensive insurance brokerage and risk management firm. It offers a wide range of services including commercial insurance, employee benefits, private client insurance, and specialty risk management solutions tailored to the unique needs of businesses and individuals. With expertise across diverse industries, Risk Strategies provides innovative and customized solutions to mitigate risks and optimize coverage. Their client-centric approach ensures personalized service and dedicated support, making them a trusted partner in managing risk and developing resilience.

5001 - 10000 employees

🏢 Enterprise

💸 Finance

📋 Description

• Conduct detailed audits of high-complexity claims files to ensure compliance, accuracy, and adherence to company procedures and regulatory requirements. • Perform in-depth claims file reviews for accuracy and compliance. • Document findings and provide recommendations for corrective action. • Identify trends and collaborate with departments to improve claim practices. • Support audit reporting and analytics.

🎯 Requirements

• Bachelor's degree preferred; CPCU, AIC, or other insurance certifications a plus. • 4 - 6 years of claims or audit experience (specific stop loss or first dollar medical). • Strong understanding of claims handling and insurance regulations. • Analytical, organized, and skilled in Excel/audit systems.

🏖️ Benefits

• medical • dental • vision • disability • life insurance • retirement savings • paid time off • paid holidays

Apply Now

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