Specific Stop Loss Claim Auditor Intern

001 Brown & Brown, Inc; United States; Remote; USD 22,000 - 31,000; Full time

Benefits offered by this job

Health benefits

401k

Student loan assistance

Tuition reimbursement

PTO

Holidays

Mental health services

Discount programs

Job summary

CTI Audit Solutions is seeking a Specific Stop Loss Claim Auditor Intern to join our growing team. The internship offers hands-on experience in healthcare claims, auditing, and data analysis, with a remote schedule of about 20 hours weekly.

You will review claim documentation, analyze data, and assist with audits alongside experienced professionals, while maintaining PHI confidentiality and contributing to process improvements.

Qualifications

• Currently 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.

Responsibilities

• Assist 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.

Skills

Analytical thinking

Critical thinking

Attention to detail

Organizational skills

Written and verbal communication

Independent work in a remote env

Education

Sophomore in college – Healthcare or Science field

Tools

Microsoft Office

Excel

Word

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 Responsibilities

• Assist 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.

Qualifications (Required)

• Currently 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 Qualifications

• Coursework 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 Hourly

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.

Equal Opportunity Employer Statement

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’. We think of ourselves as a team, so we have teammates - not employees. We strive to attract people who are competitive, driven, and disciplined.