Aggregate Claims Auditor
About the Role
Analyze aggregate stop loss high-level review and aggregate accommodation claims. Validate which expenses are eligible under the aggregate stop loss contract. Perform enrollment evaluation and calculations to ensure the correct attachment is applied. Produce deliverables related to audit findings, including audit reports for clients, exhibits, and non-exhibits within company-accepted timeframes. Contribute innovative ideas and assist with the implementation of new processes.
Responsibilities
- Analyze aggregate stop loss high-level review and aggregate accommodation claims.
- Validate which expenses are eligible under the aggregate stop loss contract.
- Perform enrollment evaluation and calculations to ensure the correct attachment is applied.
- Produce deliverables related to audit findings, including audit reports for clients, exhibits, and non-exhibits within company-accepted timeframes.
- Contribute innovative ideas and assist with the implementation of new processes.
Requirements
- Excel proficiency, including knowledge of basic or advanced formulas and PIVOT tables.
- Minimum 3-4 years of experience with self-funding in combination with specific stop loss claims, first-dollar medical claims, aggregate claims, HMO reinsurance, and provider excess claims.
- Demonstrated proficiency in Microsoft Office, including Microsoft Word and Outlook.
About the Company
Brown & Brown, Inc. (NYSE: BRO) is a leading insurance brokerage firm delivering comprehensive and customized insurance solutions since 1939. With a global presence spanning 700+ locations and a team of approximately 23,000 professionals, we are dedicated to delivering scalable, innovative strategies for our customers at every step of their growth journey.