Trainer, Stop Loss Claims

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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

• Develop a training curriculum and all necessary materials/documentation for specific stop loss claims • Train newly hired Specific Stop Loss claims auditors and provide refresher training for all auditors • Establish objective tools to measure trainee progress • Determine whether trainees successfully complete training and are ready for production • Serve as a subject matter expert and provide technical guidance to assigned claims teams • Review and analyze Specific Stop Loss claims referred by auditors or requested by clients • Assist with over authorization reviews • Audit Specific Stop Loss claims during peak periods • Review and implement continuous process improvement opportunities • Contribute innovative ideas and assist with implementing new processes

🎯 Requirements

• 3–5 years of Specific Stop Loss Claim experience • Prior Team Lead or Management experience in stop loss claims, including quality assurance experience • Prior experience with industry repricing methodologies, including PPO, Wrap Networks, and Reference Based Pricing • Demonstrated proficiency in Microsoft Office, including Microsoft Outlook • Strong analytical and critical-thinking skills • Detail-oriented focus • Strong written and verbal communication skills • Ability to work independently with minimal supervision • Prior experience auditing aggregate stop loss claims (preferred) • History of successful Process Improvement initiatives (preferred) • Prior experience leading a team or managing processes (preferred)

🏖️ Benefits

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