Risk Strategies Logo

Risk Strategies

Specific Stop Loss Claims Auditor

Posted 4 Days Ago
Be an Early Applicant
Remote
Hiring Remotely in United States
52K-75K Annually
Mid level
Remote
Hiring Remotely in United States
52K-75K Annually
Mid level
Conduct detailed audits of high-complexity stop-loss claims to ensure accuracy, compliance, and adherence to procedures. Document findings, recommend corrective actions, identify trends, collaborate with departments, and support audit reporting and analytics.
The summary above was generated by AI

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.

Your Impact

  • 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.

Successful Candidate Will Have

  • 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.

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.

Pay Range:

$51,800 - $75,000 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 this role.

Brown & Brown, Inc. and our team of companies is an equal opportunity workplace and is committed to ensuring equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics. Learn more about working at Risk Strategies, part of the Brown & Brown team, by visiting https://us.bbrown.com/careers/.  

Personal information submitted by California applicants in response to a job posting is subject to Risk Strategies' California Job Applicant Privacy Notice.


Recruiting Vendor Disclosure Statement

Brown & Brown does not accept unsolicited resumes from external recruiters, recruitment vendors or employment agencies (“Recruiting Vendors”). Recruiting Vendors must have a valid written agreement and receive prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role.  Any unsolicited resumes submitted to Brown & Brown or its employees become the property of Brown & Brown, and no fees will be paid for such submissions.  Additional information regarding this policy can be found on our careers page.

Similar Jobs

29 Minutes Ago
Remote or Hybrid
186K-267K Annually
Senior level
186K-267K Annually
Senior level
Aerospace • Artificial Intelligence • Cloud • Machine Learning • Software • Cybersecurity • Defense
Lead enterprise-wide deployment of the Honeywell Aerospace Operating System (AOS) to drive Lean transformations across engineering, manufacturing, and supply chain. Coach leaders, run Kaizen events, develop AOS methods, lead change projects, implement digital and analytics initiatives, optimize end-to-end supply chain processes, and monitor performance to improve operational efficiency and compliance. Requires extensive Lean leadership and heavy travel.
Top Skills: Aos (Aerospace Operating System)Data AnalyticsDbsDigitalizationErp SystemsHosKaizenLean Six SigmaToyota Production System
29 Minutes Ago
Remote or Hybrid
Senior level
Senior level
Aerospace • Artificial Intelligence • Cloud • Machine Learning • Software • Cybersecurity • Defense
Lead requirements-based systems engineering for APU control systems: define, decompose, verify/validate system requirements, support architecture and interfaces, apply environmental qualification standards, coordinate cross-functional integration, and support program execution and customer design reviews.
Top Skills: BitbucketIbm DoorsMatlabMbseSimulinkTeamcenter
30 Minutes Ago
Remote or Hybrid
Senior level
Senior level
Aerospace • Artificial Intelligence • Cloud • Machine Learning • Software • Cybersecurity • Defense
Lead supplier development strategy and team to improve supplier quality, cost, capacity, and delivery. Apply Lean/Six Sigma, drive rate readiness, track metrics and milestones, collaborate cross-functionally, and travel to suppliers globally to ensure production commitments are met.
Top Skills: Black BeltGreen BeltLean Six SigmaProject ManagementRail Milestone ChartsSupplier Relationship Management

What you need to know about the Austin Tech Scene

Austin has a diverse and thriving tech ecosystem thanks to home-grown companies like Dell and major campuses for IBM, AMD and Apple. The state’s flagship university, the University of Texas at Austin, is known for its engineering school, and the city is known for its annual South by Southwest tech and media conference. Austin’s tech scene spans many verticals, but it’s particularly known for hardware, including semiconductors, as well as AI, biotechnology and cloud computing. And its food and music scene, low taxes and favorable climate has made the city a destination for tech workers from across the country.

Key Facts About Austin Tech

  • Number of Tech Workers: 180,500; 13.7% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Dell, IBM, AMD, Apple, Alphabet
  • Key Industries: Artificial intelligence, hardware, cloud computing, software, healthtech
  • Funding Landscape: $4.5 billion in VC funding in 2024 (Pitchbook)
  • Notable Investors: Live Oak Ventures, Austin Ventures, Hinge Capital, Gigafund, KdT Ventures, Next Coast Ventures, Silverton Partners
  • Research Centers and Universities: University of Texas, Southwestern University, Texas State University, Center for Complex Quantum Systems, Oden Institute for Computational Engineering and Sciences, Texas Advanced Computing Center

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account