Aggregate Stop Loss Claims Auditor

Brown & Brown Insurance; United States; Remote; USD 75,000 - 90,000; Full time

Job summary

Brown & Brown is seeking an Aggregate Stop Loss Claims Auditor to join our growing team in the United States. You will analyze year-end claims, validate eligibility, and produce audit deliverables for clients.

The ideal candidate has 3–4 years of self-funding or aggregate claims experience, strong Excel skills (Pivot Tables), and solid MS Office proficiency. Some travel may be required; we offer competitive pay and benefits.

Qualifications

• Must have Excel proficiency including basic or advanced formulas 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, including Word and Outlook.
• Demonstrated strong analytical/critical thinking skills.
• Demonstrated organizational skills, time management and detail-oriented focus.
• Strong written and verbal communication skills.
• Ability to work independently with minimal supervision.
• Occasional travel may be needed.

Responsibilities

• 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

Excel Proficiency

Analytical Thinking

Organizational Skills

Written & Verbal Communication

Independent Work

Travel Flexibility

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 seekingan 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,identifyandvalidateeligibility 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,ExhibitsandNon Exhibits, within the Company acceptedtimeframes;and respond to all appeals from TPAs.
• Contribute innovative ideas andassistwith 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 aggregateclaims;or reinsurance claims.
• Demonstratedproficiencyin Microsoft Office,to includeMicrosoft Word and Outlook.
• Demonstrated strong analytical/critical thinking skills.
• Demonstrated organizational skills, time managementskillsand 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.

Recruiting Vendor Disclosure Statement

Brown & Brown does not accept unsolicited resumes from external recruiters, recruitment vendors or employment agencies (“Recruiting Vendors”). Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role. Any unsolicited resumes submitted to Brown & Brown or its employees become the property of Brown & Brown, and no fees will be paid for such submissions. Additional information regarding this policy can be found on our careers page.

The Power To Be Yourself

As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”.