Trainer Stop Loss Claims

001 Brown & Brown, Inc; United States; Remote; USD 80,000 - 100,000; Full time

Benefits offered by this job

Health Benefits

401k

Student Loan Assistance

Tuition Reimbursement

Mental Health Services

Paid Time Off

Discounts

Job summary

Brown & Brown is seeking a Trainer Stop Loss Claims to join our growing team. The incumbent will develop training curriculums and materials for specific stop loss claims auditors, and provide refresher training to ensure readiness for production.

Responsibilities include serving as SME for the claims team, guiding auditors, reviewing claims, and driving process improvements in training and claims handling. Strong leadership and communication are essential.

Qualifications

• 3-5 years of Specific Stop Loss Claim experience.
• Prior Team Lead or Management experience in stop loss claims.
• Experience with industry repricing methodologies (PPO, Wrap Networks, Reference Based Pricing).
• Demonstrated strong analytical/critical thinking skills and detail-oriented focus.
• Strong written and verbal communication skills.
• Ability to work independently with minimal supervision.

Responsibilities

• Develop a training curriculum with materials covering all aspects of stop loss claims.
• Train new auditors and refresher training for current staff to production readiness.
• Serve as SME for assigned claims team and provide technical guidance.
• Review and analyze specific stop loss claims for accuracy and efficiency.
• Identify and implement continuous process improvements in training and claims handling.

Skills

Specific Stop Loss Claims

Team Lead / Management

Industry repricing methodologies

Analytical thinking

Written and verbal communication

Independent work

Tools

Microsoft Office

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 a Trainer Stop Loss Claims to join our growing team! The incumbent is responsible for providing training for newly hired Specific Stop Loss claims auditors and refresher training for all Specific Stop Loss claims auditors.

How You Will Contribute

Develop a training curriculum with all necessary materials/documentation, covering all aspects of specific stop loss claims including, but not limited to logging claims, preparing working copies; system line-item data entry, completing claim checklists and examining all claim details; pending and/or releasing payments, pend follow up and correspondence handling. Establish an objective measuring tool for tracking trainee progress or lack thereof. Train all new specific stop loss claim auditors to determine whether they have successfully completed the training program and are ready to be placed in production with their team. Serve as a subject matter expert for and assigned claims team and provide technical guidance related to specific stop loss claims to the team. Review and Analyze Specific Stop Loss claims referred by auditors or as requested by clients and assist with over authorization reviews. Audit Specific Stop Loss claims during peak periods. Ensure continuous process improvement opportunities are reviewed and implemented, as appropriate. Contribute innovative ideas and assist with the implementation of new processes.

Skills & Experience to be Successful

• 3-5 years of Specific Stop Loss Claim experience.
• Prior Team Lead or Management experience in stop loss claims to include experience with quality assurance.
• Prior experience with industry repricing methodologies. (PPO, Wrap Networks, Reference Based Pricing, etc.
• Demonstrated proficiency in Microsoft Office, including Microsoft Outlook.
• Demonstrated strong analytical/critical thinking skills; and detail‑oriented focus.
• Strong written and verbal communication skills.
• Ability to work independently with minimal supervision.

Preferred Qualifications

• Prior experience auditing aggregate stop loss claims.
• History of successful Process Improvement initiatives.
• Prior experience leading a team or managing processes.

Pay Range $80,000 - $100,000 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.

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. 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.