Aggregate Claims Auditor

Risk Strategies Company; United States; On-site; USD 65,000 - 90,000; Full time

Job summary

Brown & Brown, Inc. is seeking a qualified professional to analyze aggregate stop loss reviews and associated accommodation claims. The role involves validating eligible expenses under the stop loss contract and performing enrollment evaluations to ensure correct attachment amounts.

The successful candidate will deliver audit findings, reports, and exhibits within set timeframes, while contributing innovative ideas and helping implement new processes in a leading insurance brokerage firm.

Qualifications

• Excel proficiency with basic or advanced formulas and Pivot Tables.
• Minimum 3-4 years of experience with self-funding in stop loss claims and related areas.
• Proficiency in Microsoft Office including Word and Outlook.

Responsibilities

• Analyze aggregate stop loss high level review and aggregate accommodation claims.
• Validate which expenses are eligible under the aggregate stop loss contract.
• Perform enrollment evaluation and calculations for correct attachment.
• Produce deliverables related to audit findings including audit reports, exhibits and non-exhibits within timeframes.
• Contribute innovative ideas and assist with implementing new processes.

Skills

Excel proficiency

Microsoft Office

Pivot Tables

Tools

Pivot Tables

Job description

• Analyze aggregate stop loss high level review and aggregate accommodation claims.
• Validate which expenses are eligible under the aggregate stop loss contract.
• Perform enrollment evaluation and calculations to ensure the correct attachment is applied.
• Produce deliverables related to audit findings including audit report for client, exhibits and non-exhibits within the company accepted timeframes.
• Contribute innovative ideas and assist with the implementation of new processes.

Successful Candidate Will Have

• Excel proficiency including knowledge of basic or advanced Formulas and PIVOT Tables.
• Minimum 3-4 years of experience with self-funding in combination with specific stop loss claims, first dollar medical claims, aggregate claims, HMO reinsurance, and provider excess claims.
• Demonstrated proficiency in Microsoft Office including Microsoft Word and Outlook.

Brown & Brown, Inc. (NYSE: BRO) is a leading insurance brokerage firm delivering comprehensive and customized insurance solutions and specialization since 1939. With a global presence spanning 700+ locations and a team of approximately 23,000 professionals, we are dedicated to delivering scalable, innovative strategies for our customers at every step of their growth journey. Learn more at BBrown.com.