Risk Strategies Logo

Risk Strategies

Aggregate Claims Auditor

Posted 14 Days Ago
Be an Early Applicant
Remote
Hiring Remotely in United States
52K-90K Annually
Mid level
Remote
Hiring Remotely in United States
52K-90K Annually
Mid level
Perform high-level reviews of aggregate stop loss and accommodation claims, validate eligible expenses under stop loss contracts, evaluate enrollments and attachment calculations, produce audit reports and exhibits within company timeframes, and support process improvements and implementation.
The summary above was generated by AI

Your Impact:

  • Analyze aggregate stop loss high level review and aggregate accommodation claims.
  • Validate which expenses are eligible under the aggregate stop loss contract.
  • Perform enrollment evaluation and calculations to ensure the correct attachment is applied.
  • Produce deliverables related to audit findings including audit report for client, exhibits and non-exhibits within the company accepted timeframes.
  • Contribute innovative ideas and assist with the implementation of new processes.

Successful Candidate Will Have

  • Excel proficiency including knowledge of basic or advanced Formulas and PIVOT Tables.
  • Minimum 3-4 years of experience with self-funding in combination with specific stop loss claims, first dollar medical claims, aggregate claims, HMO reinsurance, and provider excess claims.
  • Demonstrated proficiency in Microsoft Office including Microsoft Word and Outlook.

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 - $90,000 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

14 Minutes Ago
Remote or Hybrid
United States
85K-143K Annually
Expert/Leader
85K-143K Annually
Expert/Leader
Fintech • Information Technology • Insurance • Financial Services • Big Data Analytics
Oversee operational risk management for MetLife’s Group Benefits business by implementing the non-financial risk framework, advising business leaders, monitoring risk events and indicators, managing remediation, strengthening controls, and partnering with technology, operations, compliance, and control functions. The role also develops risk mitigation strategies, supports governance and risk appetite compliance, and improves risk practices through training, stakeholder engagement, analytics, and emerging technologies.
Top Skills: AIAutomationDashboardsRisk Analytics
40 Minutes Ago
Remote
United States
Entry level
Entry level
Healthtech • Social Impact • Telehealth
Guide older adults and their caregivers through the mental healthcare intake process. Responsibilities include providing empathetic support, coordinating care, matching patients with therapists, managing multiple patients across intake stages, and serving as a reassuring first point of contact. The role requires clear communication, organization, attention to detail, comfort with healthcare technology, and commitment to improving mental health access for seniors.
Top Skills: Crm SystemsEhr PlatformsGoogle WorkspaceHealthieHubspot
An Hour Ago
Remote or Hybrid
United States
Senior level
Senior level
Fintech • Software
Leads governance and orchestration for a workflow transformation portfolio, coordinating initiatives, pilots, roadmaps, vendor engagements, dependencies, resources, risks, and operational readiness. Develops portfolio dashboards, executive scorecards, status reports, and value-realization reporting. Facilitates prioritization, sequencing, investment, and trade-off decisions across cross-functional teams, while establishing governance standards, intake processes, reporting routines, and transformation operating rhythms.
Top Skills: AgileAi-Enabled TransformationLean Six SigmaExcelMicrosoft Powerpoint

What you need to know about the Colorado Tech Scene

With a business-friendly climate and research universities like CU Boulder and Colorado State, Colorado has made a name for itself as a startup ecosystem. The state boasts a skilled workforce and high quality of life thanks to its affordable housing, vibrant cultural scene and unparalleled opportunities for outdoor recreation. Colorado is also home to the National Renewable Energy Laboratory, helping cement its status as a hub for renewable energy innovation.

Key Facts About Colorado Tech

  • Number of Tech Workers: 260,000; 8.5% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Lockheed Martin, Century Link, Comcast, BAE Systems, Level 3
  • Key Industries: Software, artificial intelligence, aerospace, e-commerce, fintech, healthtech
  • Funding Landscape: $4.9 billion in VC funding in 2024 (Pitchbook)
  • Notable Investors: Access Venture Partners, Ridgeline Ventures, Techstars, Blackhorn Ventures
  • Research Centers and Universities: Colorado School of Mines, University of Colorado Boulder, University of Denver, Colorado State University, Mesa Laboratory, Space Science Institute, National Center for Atmospheric Research, National Renewable Energy Laboratory, Gottlieb Institute

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account