Aggregate Stop-Loss Auditor: Analyze & Validate Claims

001 Brown & Brown, Inc

United States

Remote

USD 75,000 - 90,000

Full time

5 days ago
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Benefits offered by this job

Health Benefits
401k
Student Loan Assistance
Tuition Reimbursement
Mental Health Support
Paid Time Off

Job summary

Brown & Brown is seeking an Aggregate Stop Loss Claims Auditor to join our growing team. You will analyze Year End claims, review high level details, validate eligible expenses, and prepare Audit Reports for clients.

Required: 3–4 years in self-funding/aggregate claims, strong Excel skills (Pivot Tables), and excellent written and verbal communication. Occasional travel may be needed and you will work independently within a collaborative environment.

Qualifications

  • Minimum 3–4 years of experience with self-funding plus aggregate claims.
  • Proficient in Microsoft Office including Word and Outlook.
  • Strong analytical and organizational skills with attention to detail.
  • Excellent written and verbal communication; able to work independently.

Responsibilities

  • Analyze Aggregate Stop Loss Year End claims and perform high level reviews.
  • Validate eligible expenses under the stop loss contract and identify exceptions.
  • Perform enrollment evaluations and calculate minimum attachment points as needed.
  • Produce audit deliverables and respond to TPAs' appeals.

Skills

Excel Proficiency
Analytical thinking
Organizational skills
Written and verbal communication
Time management
Independent work
Self-funding/aggregate claims

Tools

Pivot Tables
Microsoft Word
Microsoft Outlook

Job description

Brown & Brown is seeking an Aggregate Stop Loss Claims Auditor to join our growing team. You will analyze Year End claims, review high level details, validate eligible expenses, and prepare Audit Reports for clients.

Required: 3–4 years in self-funding/aggregate claims, strong Excel skills (Pivot Tables), and excellent written and verbal communication. Occasional travel may be needed and you will work independently within a collaborative environment.

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