Aggregate Stop Loss Claims Auditor

Job not on LinkedIn

🔥 12 hours ago

🇺🇸 United States – Remote

💵 $75k - $90k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Brown & Brown Insurance

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1939

💸 Finance

🛡️ Insurance

Finance • Insurance

Brown & Brown Insurance is one of the largest independent insurance brokerages globally, providing a comprehensive range of risk management solutions. Established in 1939, the company offers personal and business insurance, employee benefits, and various national programs. Brown & Brown is committed to diversity, inclusion, and belonging, fostering a culture that values talent and experience. With over 500 locations, the company is well-positioned to meet the diverse needs of its clientele and is listed on the New York Stock Exchange under the ticker BRO. The firm's strategic focus on mergers and acquisitions highlights its disciplined growth strategy.

📋 Description

• Analyze Aggregate Stop Loss Year End claims, High Level Review and Aggregate Accommodation claims • Validate which expenses are eligible under the aggregate stop loss contract • Identify and validate eligibility exceptions and extra-contractual claims • Verify funding • Perform enrollment evaluation and calculations to ensure the correct calculated or minimum attachment point is applied • Produce audit deliverables, including Audit Report for client, Exhibits and Non Exhibits, within company-accepted timeframes • Respond to all appeals from TPAs • Contribute innovative ideas and assist with implementation of new processes

🎯 Requirements

• Must have Excel Proficiency to include knowledge of Basic or Advanced Formulae and PIVOT Tables • Minimum 3-4 years of experience with self-funding plus specific and/or aggregate claims; or reinsurance claims • Demonstrated proficiency in Microsoft Office, to include Microsoft Word and Outlook • Demonstrated strong analytical/critical thinking skills • Demonstrated organizational skills, time management skills and detail-oriented focus • Strong written and verbal communication skills • Ability to work independently with minimal supervision • Occasional travel may be needed • Preferred: Prior experience with self-funding and the stop loss product • Preferred: Prior experience reviewing and/or auditing aggregate stop loss claims • Preferred: History of successful Process Improvement initiatives

🏖️ Benefits

• Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance • Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement • Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services • Paid Time Off • Holidays • Preferred Partner Discounts