Aggregate Stop Loss Claims Auditor

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

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

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

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

• 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.

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”.

Company Culture and Background

We think of ourselves as a team, so we have teammates - not employees. We strive to attract people who are competitive, driven, and disciplined. Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Founded in 1939 as a small, two-partner firm, Brown & Brown (NYSE: BRO) and our team of companies have grown into one of the world’s largest insurance brokerages while staying true to our foundation of trust, resilience, and delivering results. With a team that is as connected locally as it is globally, our high-performing, highly collaborative team delivers innovative risk and insurance solutions. We look for individuals who embrace our culture, thrive in a collaborative environment, are driven to grow and succeed, and are committed to always doing what is right. With a unique culture built on integrity, superior capabilities and grit, we value teamwork, trust and courage. We think of ourselves as a team, so we have teammates—not employees, and leaders—not managers. Everything we do is about the greater “WE”—never “me.” While diverse in abilities and experience, we are all connected through our core values, a commitment to our local communities and a shared mission—always doing what is best for our customers.