Remote Aggregate Stop-Loss Claims Auditor

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

Benefits offered by this job

Health benefits – Medical/Rx, Dental,

Vision, Life Insurance

401k

Student loan assistance

Tuition reimbursement

Paid time off

Mental health services

Job summary

Brown & Brown is seeking an Aggregate Stop Loss Claims Auditor to join our growing team. You will analyze year-end aggregate stop loss claims and perform high-level reviews to validate eligible expenses under the stop loss contract.

Ideal candidates have 3-4 years of self-funding or reinsurance claims experience, strong Excel skills (formulas and Pivot Tables), and excellent written and verbal communication. Travel may be required as part of the role.

Qualifications

• Minimum 3-4 years of experience with self-funding plus aggregate claims or reinsurance claims.
• Proficiency in Microsoft Office, including Word and Outlook.
• Strong analytical, critical thinking and problem-solving abilities.
• Excellent written and verbal communication skills; detail-oriented and organized.
• Ability to work independently with minimal supervision; occasional travel may be required.

Responsibilities

• Analyze Aggregate Stop Loss Year End claims, High Level Review and Aggregate Accommodation claims.
• Validate eligible expenses under the aggregate stop loss contract, identify eligibility exceptions and extra-contractual claims; verify funding.
• Perform enrollment evaluation and calculations to ensure correct attachment points are applied.
• Produce Audit Reports and Exhibits; respond to all appeals from TPAs within company timeframes.
• Contribute innovative ideas and assist with new process implementations.

Skills

Excel Proficiency

Self-funding Claims

MS Office

Analytical Thinking

Attention to Detail

Communication Skills

Independent Work

Travel Optional

Tools

Microsoft Word

Outlook

Job description

Brown & Brown is seeking an Aggregate Stop Loss Claims Auditor to join our growing team. You will analyze year-end aggregate stop loss claims and perform high-level reviews to validate eligible expenses under the stop loss contract.

Ideal candidates have 3-4 years of self-funding or reinsurance claims experience, strong Excel skills (formulas and Pivot Tables), and excellent written and verbal communication. Travel may be required as part of the role.