Trainer – Stop Loss Claims

Job not on LinkedIn

🕒 August 4

🇺🇸 United States – Remote

💵 $80k - $100k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 24%

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Logo of Brown & Brown Insurance

Brown & Brown Insurance

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 necessary materials/documentation covering all aspects of specific stop loss claims • Establish an objective measuring tool to track trainee progress • Train new specific stop loss claim auditors and determine readiness for production • Serve as a subject matter expert for an assigned claims team • Provide technical guidance related to specific stop loss claims • 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 experience with quality assurance • Prior experience with industry repricing methodologies (PPO, Wrap Networks, Reference Based Pricing, etc.) • Demonstrated proficiency in Microsoft Office, including Microsoft Outlook • Demonstrated strong analytical/critical thinking skills and 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

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