Accident & Health Claims Auditor: Precise, Independent Insight

Brown & Brown; Clearwater (FL); On-site; USD 57,308,000 - 63,156,000; Full time

Benefits offered by this job

Health benefits: Medical/Rx, Dental, V

Vision

Life Insurance

Disability Insurance

401k

Employee tuition assistance

Employee stock purchase plan

Mental health benefits

Paid time off

Holiday pay

Employee discounts

Job summary

Brown & Brown through One80 Intermediaries is seeking an Accident and Health Claims Auditor to join our growing Florida team. You will review and analyze claims to ensure accuracy and policy compliance, handling moderate to complex issues and obtaining all necessary documentation.

The role requires a High School Diploma, independent work capability, strong communication skills, and proficiency in Microsoft Office.

Qualifications

• High School Diploma or equivalent required.
• Ability to function independently within established guidelines.
• Excellent interpersonal, oral and written communication skills.
• Intermediate skill level in Microsoft Office programs.

Responsibilities

• Analyze and research claim issues of moderate to complex difficulty.
• Ability to comprehend complicated workflows, policy certificates, and policy provisions.
• Review and apply policy provisions in processing of claims received.
• Request and obtain necessary documents for claim processing/consideration, including scheduling follow-ups for documentation.
• Release of accurate benefit payments in accordance with CBP policy, industry standard & other applicable TPA or SLA agreements.
• Proper documentation of required information in claim system, including follow up information.
• Receive inbound calls within assigned queues and/or as an overflow for the CSR team.

Skills

Interpersonal communication

Oral communication

Written communication

Independent work

Education

High School Diploma or equivalent

Tools

Microsoft Office

Job description

Brown & Brown through One80 Intermediaries is seeking an Accident and Health Claims Auditor to join our growing Florida team. You will review and analyze claims to ensure accuracy and policy compliance, handling moderate to complex issues and obtaining all necessary documentation.

The role requires a High School Diploma, independent work capability, strong communication skills, and proficiency in Microsoft Office.