[Hiring] Specific Stop Loss Claims Auditor @Risk Strategies

Role Description

The Health Claims Stop Loss Claims Auditor conducts detailed audits of high-complexity claims files to ensure compliance, accuracy, and adherence to company procedures and regulatory requirements.

• 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.

Qualifications

• Bachelor's degree (preferred); CPCU, AIC, or other insurance certifications a plus.
• 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/audit systems.

Benefits

• Pay Range: $51,800 - $75,000 Annual
• The pay range provided 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 this role.

Company Description

Brown & Brown, Inc. (NYSE: BRO) is a leading insurance brokerage firm delivering comprehensive and customized insurance solutions and specialization 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. Learn more at BBrown.com.