Aggregate Stop Loss Claims Auditor

Brown & Brown, Inc.; Northern (KY); Hybrid; USD 75,000 - 90,000; Full time

Job summary

Brown & Brown, Inc. is seeking an Aggregate Stop Loss Claims Auditor to join our team. You will analyze Year End claims, validate eligibility under the contract and perform enrollment calculations to ensure correct point attachments.

The role requires strong Excel skills (including Pivot Tables), excellent analytical ability, and the capacity to work independently with minimal supervision, with occasional travel.

Qualifications

• 3–4 years of experience with self-funding and aggregate claims.
• Excel proficiency including basic/advanced formulas and Pivot Tables.
• Strong written and verbal communication skills.
• Ability to work independently with minimal supervision.
• Occasional travel may be required.

Responsibilities

• Analyze Aggregate Stop Loss Year End claims and conduct high level reviews.
• Validate eligible expenses under the aggregate stop loss contract and identify exceptions.
• Perform enrollment evaluations to apply correct attachment points.
• Produce audit deliverables: Audit Report, Exhibits, and responses to appeals.
• Support process improvements and implement new audit processes.

Skills

Excel

Pivot Tables

Analytical thinking

Communication skills

Time management

Independence

Tools

Microsoft Word

Outlook

Job description

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.**Brown & Brown**is seeking an **Aggregate Stop Loss Claims Auditor**to join our growing team!**How You Will Contribute:*** Analyze Aggregate Stop Loss Year End claims, High Level Review and Aggregate Accommodation claims.* Validate which expenses are eligible under the aggregate stop loss contract, identify and validate eligibility exceptions, extra-contractual claims and verify funding.* Perform enrollment evaluation and calculations to ensure the correct calculated or minimum attachment point is applied.* Produce deliverables related to audit findings, including Audit Report for client, Exhibits and Non Exhibits, within the Company accepted timeframes; and respond to all appeals from TPAs.* Contribute innovative ideas and assist with the implementation of new processes.**Skills & Experience to be Successful:*** Must have Excel Proficiency to include knowledge of Basic or Advanced Formulae and PIVOT Tables.* Minimum 3-4 years of experience with self-funding plus specific and/or aggregate claims; or reinsurance claims.* Demonstrated proficiency in Microsoft Office, to include Microsoft Word and Outlook.* Demonstrated strong analytical/critical thinking skills.* Demonstrated organizational skills, time management skills and detail‐oriented focus.* Strong written and verbal communication skills.* Ability to work independently with minimal supervision.* Occasional travel may be needed.**Preferred:*** Prior experience with self-funding and the stop loss product.* Prior experience reviewing and/or auditing aggregate stop loss claims.* History of successful Process Improvement initiatives.**Pay Range**$75,000 - $90,000 Annual*The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for the role.***Teammate Benefits & Total Well-Being**We go beyond standard benefits, focusing on the total well-being of our teammates, including:* *Health Benefits*: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance* *Financial Benefits*: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement* *Mental Health & Wellness*: Free Mental Health & Enhanced Advocacy Services* *Beyond Benefits*: Paid Time Off, Holidays, Preferred Partner Discounts and more.*Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations.*