Specific Stop Loss Claims Auditor
Risk Strategies Company · United States · 1 wk ago
RemoteRemoteCustomer ServiceFull-time
About the role
The Specific Stop Loss Claims Auditor conducts detailed audits of high-complexity claims files to ensure compliance, accuracy, and adherence to company procedures and regulatory requirements.
Responsibilities
- Perform in-depth claims file reviews for accuracy and compliance.
- Document findings and provide recommendations for corrective action.
- Identify trends and collaborate with departments to improve claim practices.
- Support audit reporting and analytics.
Requirements
- 4 - 6 years of claims or audit experience (specific stop loss or first dollar medical).
- Strong understanding of claims handling and insurance regulations.
- Proficiency in Excel and audit systems.
Qualifications
- Bachelor's degree (preferred).
- CPCU, AIC, or other insurance certifications a plus.
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.