Aggregate Claims Auditor - Stop-Loss & Self-Funding
Risk Strategies
Brown & Brown, Inc. (NYSE: BRO) is seeking a detail-oriented analyst to analyze aggregate stop loss and accommodation claims. You will validate eligible expenses under the contract, perform enrollment calculations to ensure correct attachment, and produce audit deliverables for clients within established timeframes. The role requires 3–4 years of self-funding experience with stop loss, financial analysis skills in Excel (formulas and Pivot Tables), and proficiency with Word and Outlook. #J-18808-Ljbffr Risk Strategies
- Imagine360 is seeking a Stop Loss Claims Auditor to join the team! This position is part of the Stop... ...questions or issues. Facilitate advance funding with Finance Department. Comply with... ...and training initiatives. Perform self‑quality monitoring in order to develop...ClaimsTemporary workWork at officeRemote work
- Imagine360, LLC is looking for a Stop Loss Claims Auditor to join their team in a fully remote capacity. This individual will work within the Stop Loss Department, ensuring claims are examined, audited, and processed accurately to support multiple functions. The ideal...ClaimsRemote job
$118k - $178k
Medical Stop Loss Underwriting Practice Lead - Accident & HealthWho we are:American... ...in underwriting Specific and Aggregate Stop Loss plans for self-funded medical plans and a strong understanding... ...expectations.Analyze group medical claims data, demographics, and plan...ClaimsFull timeWork at office- Acrisure is seeking a Stop Loss Underwriter to evaluate, price, and manage risk for employer-sponsored self-funded health plans. This role includes underwriting new business and... ...collaborate with sales, clinical, policy, and claims teams to deliver sound underwriting...ClaimsRemote job
- Personify Health is seeking a Stop Loss Specialist to drive accurate, timely stop loss filings and manage claimant files, reimbursements, and data integrity. You will coordinate with PBMs and internal teams to ensure smooth workflows and audit-ready records. The role supports...Claims
$53k - $70k
...is seeking an Entry Level Payroll Auditor I to join our Employee Benefits Fund Audit team. No CPA or prior audit experience... ...To Positive Thinker: an organized self-starter with a strong work ethic... ...verify the email domain of anyone claiming to represent Withum and be cautious...ClaimsLocal areaImmediate startFlexible hours- ...helps automotive lenders resolve insurance claims more effectively, delivering better... ...reviewing and resolving automotive total loss claims while owning key customer accounts... ...asynchronous communication across multiple channels Self‑Direction: Strong ability to work...ClaimsWork at officeRemote workFlexible hours
- EY is seeking an experienced insurance claims Manager to lead complex engagements across property, business interruption, cyber and other commercial losses. You will work with forensic accountants, valuation professionals, attorneys, and brokers to develop claim strategies...ClaimsWork at office
- Ryan Specialty, LLC is seeking a Contract Loss Adjuster to play a critical role in our claims operations. The ideal candidate will conduct field inspections, evaluate crop damage, and ensure compliance with MPCI program guidelines. Responsibilities include collecting data...ClaimsContract work
- ...Senior Auditor Employment Type: Full Time, Mid-level CGS is seeking a Senior Auditor... ...district legal staff by conducting medical claims data analysis, forensic investigations,... ...CGS we value honesty through hard work and self-awareness, professionalism in all we do,...ClaimsFull timeRemote workFlexible hours
$46.99k - $122.4k
...community at a time. Position Summary The Program Integrity Auditor is responsible for the review of records for medical,... ...including (but not limited to) provider education, recoupment of funds or rebilling of claims, and referral to state regulators for any suspected fraud,...ClaimsHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours- ...About the Company Third-party administrator focused on self-funded healthcare operations and continued growth. Industry... ...strong background in self-funded healthcare operations, stop-loss programs, and claims management. The successful candidate will be responsible...ClaimsRemote work
$38.46 - $52.4 per hour
...create your future. The Inpatient Coding Auditor will be responsible for the auditing of inpatient... ...action is initiated before the claim is rebilled to the insurance. Conduct analysis... ..., ability to work independently, and be self-motivated are required Flexible and...ClaimsHourly payPermanent employmentWork at officeLocal areaImmediate startFlexible hoursDay shift- ...Auditor Employment Type: Full-Time, Mid-Level Department: Financial CGS is seeking... ...records, financial records, healthcare claims, tax records, correspondence, policies, other... ...we value honesty through hard work and self-awareness, professionalism in all we do,...ClaimsFull timeWork experience placementInterim roleWork at officeLocal areaRemote workFlexible hours
$70k - $85k
...improper payments and recoup or prevent losses due to errant billing practices. We are the... ...healthier lives for all. Medical Coding Auditor - Inpatient (Remote) Location: Remote.... ...and medical chart review for all provider/claim types. Experience coding for emergency care...ClaimsFull timeWork at officeRemote workHome office$84.2k - $140k
...fully insured, minimum premium, level-funded and self-insured accounts. Utilize actuarial modeling... ...-facing monthly reports including claims, enrollment and large claim activity; transmit... ...Evaluate network discounts and conduct stop loss marketing and negotiations, evaluating...Claims- ...solutions specialty wholesale strategic risk analytics claims advocacy bermuda market access intermediaries... ...or a related field. Significant experience in the medical stop loss, self-funding, or benefits consulting industry, along with relevant insurance...Claims
$63k - $108k
...customers responsibly by helping to mitigate loss, keep them safe, and restore their lives... ...Selective Insurance is seeking a Premium Auditor/Sr. Premium Auditor for the Mid-Atlantic... ...according to manual rules. Verify claims data. Determine and/or develop premium basis...ClaimsFor subcontractorRemote workNight shift$70k - $75k
...Financial Services & Insurance Attorney Auditor ** This is a fully remote position,... ...Sedgwick is the world’s leading risk and claims administration partner, which helps clients... ...for solutions in claims administration, loss adjusting, benefits administration, and product...ClaimsLocal areaRemote workWork from homeFlexible hours$101.5k - $130k
...medical, pharmacy, dental, vision, stop loss, life, disability and other benefit... ...and recommendation support.Analyzing claims, utilization, cost, funding and plan design data; identifying key... ...including plan design, fully insured and self-insured funding arrangements, vendor...ClaimsWork at office$100k - $125k
...Greystone is looking for a Senior Internal Auditor who will report to the Director of... ...firm commitments received by Greystone Funding Company LLC and Greystone Servicing company... ...apps. If you are contacted by someone claiming to represent Greystone and suspect the communication...ClaimsWork at officeFlexible hours- Position Summary Position Summary: The Contract Loss Adjuster plays a critical role in AgCentric’s claims operations by conducting field inspections, evaluating crop damage, and determining accurate indemnity payments in accordance with MPCI program guidelines. This position...ClaimsContract work
- ...control financial risks, losses, and liability for a... ...to insurance, safety, claims, and settlement of losses... ...through commercial entities, self-insurance, or any other... ...companies, insurance auditors, and claims adjusters... ...levels of cash funds or appropriations according...ClaimsContract workWork at officeLocal area
$80k - $95k
Staff Auditor - Managing General Agents (MGAs) and Third Party Administrators (TPAs) page... ...policies, collect premiums and adjudicate claims on behalf of Starr Companies.**Responsibilities... ...is required.* Highly motivated self-starter with the ability to multitask and...ClaimsWorldwide$245k - $310k
...leading our evaluation of a potential move to self-funding, owning our Canada program, and... ...time zones, including carrier disputes and claims advocacy Draft clear, compliant employee... ...‑funding, partnering with Finance on stop‑loss structure, claims forecasting, and reserve...ClaimsLocal areaVisa sponsorship$170k - $200k
...MGAs, TPAs, and other insurance business relationships.Product & Claims-Related Matters & Business SupportAdvise the business on claims... ...least one U.S. state3-5+ years of dedicated A&H, Travel, Pet, Stop Loss, and more P&C Insurance linesWider P&C insurance experience...ClaimsPermanent employment$70k
...locations for the purposes of jurisdictional certification, loss prevention, risk assessment, OnSights and claims investigations. May be utilized for fee service... ...Skills: Planning and organizational skills Self-motivated with the ability to work without direct...ClaimsTraineeshipWork at office- ...difference, then Selene is the place for you!Selene is seeking a Loss Analysis Business Analyst to support the continued growth and... ...process failures.Analyze different servicing pay histories, agency claim reimbursement activity, property preservation & inspection work,...ClaimsWork at office
- ..., loan origination systems (LOSs), loan management systems (LMS... .... Get access to a self-development budget you can use... ...more customers, reimbursing claims instantly, stopping fraud before it spreads, and... ...financing every business worth funding. Founded in 2020, Taktile...ClaimsRemote workWorldwideHome office
- ...determined annually. This includes renewal of TPA services, stop loss coverage, claims review and audit services renewal and other vendors... ...and/or TPA experience specializing in employee benefit and self-funded medical plans. Computer skills which include proficiency...ClaimsRemote work
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