19 часов назад
Aggregate Claims Auditor
51 800 - 90 000$
Вакансия из Hirify Global, списка международных tech-компанийДля мэтча и отклика нужен Plus
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Aggregate Claims Auditor (Stop-Loss Insurance): Auditing aggregate stop-loss and accommodation claims, validating eligible expenses, and calculating enrollment attachments with an accent on claims eligibility, contract review, and accurate financial calculations. Focus on producing client audit reports and exhibits, reviewing self-funded healthcare claims, and improving audit processes.
Location: Remote - US
Pay range: $51,800–$90,000 annual
Company
is an insurance brokerage firm providing customized insurance solutions as part of Brown & Brown.
What you will do
- Analyze aggregate stop-loss reviews and aggregate accommodation claims.
- Validate whether expenses are eligible under aggregate stop-loss contracts.
- Evaluate enrollment and perform calculations to ensure the correct attachment is applied.
- Prepare client audit reports, exhibits, and non-exhibits within established timeframes.
- Contribute ideas and support the implementation of new processes.
Requirements
- 3–4 years of experience with self-funding and claims such as specific stop-loss, first-dollar medical, aggregate, HMO reinsurance, and provider excess claims.
- Proficiency in Excel, including basic or advanced formulas and pivot tables.
- Proficiency in Microsoft Word and Outlook.
Culture & Benefits
- Full-time employment in a remote US role.
- Equal employment opportunity workplace.
- Work within a global insurance brokerage organization with more than 700 locations and approximately 23,000 professionals.
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