Health Claims Stop Loss Auditor
$51,800–$75,000 year
RemoteUnited States
United StatesRemoteFull Time$51,800–$75,000 yearMid LevelBachelors DegreeINSURANCEMedium
Full TimeMid LevelBachelors DegreeMediumINSURANCE
Job Summary
Audits health claims stop loss files for accuracy and regulatory compliance; documents findings and provide recommendations for corrective action; identify trends and collaborate with departments to improve claim practices; support audit reporting and analytics; Bachelor's degree preferred; CPCU, AIC, or other insurance certifications a plus; 4-6 years of claims or audit experience; strong Excel/audit systems skills.
Required Qualifications
- Bachelor's degree preferred
- 4 - 6 years of claims or audit experience
- Strong understanding of claims handling and insurance regulations
- Analytical, organized, and skilled in Excel/audit systems
Desired Qualifications
- CPCU
- AIC
- other insurance certifications
- 4 - 6 years of claims or audit experience
- analytical and Excel/audit systems experience
- Regulatory compliance knowledge
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