Risk Strategies Company
5001 - 10000 employees
💼 Consulting
📦 Logistics
🏥 Healthcare
Consulting • Logistics • Healthcare
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.
Stop Loss Claims Auditor
🕒 July 17
🇺🇸 United States – Remote
💵 $51.8k - $75k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
🔎 Auditor
👻 Ghost score 4%
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Risk Strategies Company
5001 - 10000 employees
💼 Consulting
📦 Logistics
🏥 Healthcare
Consulting • Logistics • Healthcare
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.
📋 Description
• 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 • Proficiency in Excel/audit systems
🏖️ Benefits
• Health Claims Stop Loss Claims Auditor conducts detailed audits of high-complexity claims files • Delivering comprehensive and customized insurance solutions
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