Senior Stop Loss Claims Auditor — Data-Driven & Impactful

Evolution Risk Partners, LLC; Evanston (IL); On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

Health insurance

401(k)

401(k) matching

Flexible PTO

Wellness programs

Job summary

Evolution Risk Partners, LLC is looking for a Stop Loss Claims Auditor or Senior Stop Loss Claims Auditor in Evanston, Illinois. The role involves auditing and authorizing reimbursements for medical claims while ensuring exceptional customer service.

The ideal candidate will have 3-5+ years of experience in Stop Loss Claims Auditing and medical claim processing, with a strong analytical background. We offer a competitive salary, generous PTO, health insurance, and a 401(k) with match.

Qualifications

• 3-5+ years of experience in auditing medical Stop Loss Claims.
• Ability to analyze claims and large claim management reports.
• Excellent verbal and written communication skills.

Responsibilities

• Audit and authorize reimbursements of claims.
• Timely follow-up of pending claims.
• Recognize cost mitigation opportunities.

Skills

Medical claim processing

Stop Loss Claims Auditing

Analytical skills

Customer service

Proficient in Excel

Education

Bachelor’s degree

Job description

Evolution Risk Partners, LLC is looking for a Stop Loss Claims Auditor or Senior Stop Loss Claims Auditor in Evanston, Illinois. The role involves auditing and authorizing reimbursements for medical claims while ensuring exceptional customer service.

The ideal candidate will have 3-5+ years of experience in Stop Loss Claims Auditing and medical claim processing, with a strong analytical background. We offer a competitive salary, generous PTO, health insurance, and a 401(k) with match.