Specific Stop Loss Claim Auditor Intern

Brown & Brown; United States; Remote; USD 22,458,000 - 31,985,000; Full time

Benefits offered by this job

Health Benefits and Wellness

401k

Tuition Reimbursement

Paid Time Off

Job summary

CTI Audit Solutions seeks a Stop Loss Claim Auditor Intern to assist the Audit Team in reviewing medical claim documentation, analyzing data, and supporting stop loss audits. The role offers remote work around 20 hours weekly, ideal for students or early-career professionals in healthcare claims and auditing.

You will learn reimbursement methodologies, audit processes, and gain hands-on experience alongside experienced professionals in the industry.

Qualifications

• Sophomore in college pursuing a Healthcare or Science related degree.
• Strong analytical and critical thinking skills.
• High attention to detail and organizational skills.
• Proficiency in MS Office, especially Excel, Word, and Outlook.
• Excellent written and verbal communication skills.
• Ability to work independently in a remote environment.

Responsibilities

• Review and audit specific stop loss claim submissions.
• Validate claim documentation and records for completeness and accuracy.
• Analyze medical and pharmaceutical claims data.
• Identify discrepancies, overpayments, and audit findings.
• Prepare client reports and audit summaries with supporting data.
• Support process improvements and special projects.
• Maintain PHI confidentiality and data security.
• Communicate audit findings and status with team members.

Skills

Analytical thinking

Attention to detail

Communication skills

Independent work

Remote work proficiency

Education

Healthcare or Science related field (Sophomore)

Tools

Microsoft Excel

Microsoft Word

Microsoft Outlook

Microsoft Access

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.CTI Audit Solutions is seeking a specific stop loss claim auditor intern to joining our growing team!For over 30 years it has been CTI’s mission to help self-funded health plan sponsors reduce claim expense and improve service to their employees through independent audit and control of their third-party claim administration. Our philosophy of continuous quality improvement (CQI) techniques in conjunction with our statistical process control methodology allows us to ensure a high degree of consistency in our approach to medical claim auditing. Efficient planning and maximized use of our proprietary systems and technology produces a streamlined audit product requiring fewer hours than competitors to complete.This internship offers an excellent opportunity for students or early-career professionals interested in healthcare claims, insurance, data analysis, and auditing. The position is remote and approximately 20 hours per week, with flexible scheduling.Position Summary:The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim documentation, analyzing data, and assisting with stop loss claim audits. The intern will gain hands-on experience with healthcare claims administration, reimbursement methodologies, and audit processes while working alongside experienced professionals in the industry.Key ResponsibilitiesAssist with reviewing and auditing specific stop loss claim submissions.Validate claim documentation and supporting records for completeness and accuracy.Analyze medical and pharmaceutical claims data.Assist in identifying claim discrepancies, overpayments, and audit findings.Utilize Excel and other Microsoft Office applications to organize, analyze, and report data.Support auditors in preparing client reports and audit summaries.Participate in process improvement initiatives and special projects.Maintain confidentiality of protected health information (PHI) and sensitive client data.Communicate effectively with team members regarding audit findings and project status.QualificationsRequired QualificationsCurrently a sophomore in college pursuing a degree in Healthcare or a Science related field.Strong analytical and critical thinking skills.High attention to detail and strong organizational skills.Proficiency in Microsoft Office, particularly Excel, Word, and Outlook.Excellent written and verbal communication skills.Ability to work independently and manage multiple tasks in a remote environment.Preferred QualificationsCoursework or internship experience related to healthcare, insurance, auditing, or claims administration.Familiarity with healthcare claims processing or medical billing concepts.Experience using Excel features such as formulas, sorting, filtering, and pivot tables.Exposure to healthcare reimbursement methodologies, including Medicare, DRG, or RBRVS.Experience with Microsoft Access or other database applications.Pay Range$19.00 - $19.00 HourlyThe 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-BeingWe go beyond standard benefits, focusing on the total well-being of our teammates, including:Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability InsuranceFinancial Benefits: ESPP; 401k; Student Loan Assistance; Tuition ReimbursementMental Health & Wellness: Free Mental Health & Enhanced Advocacy ServicesBeyond 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 StatementBrown & 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 YourselfAs 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”.