Senior Stop Loss Claims Auditor
Risk Strategies
4d
About The Position
The Senior 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.
Requirements
- 4 - 6 years of claims or audit experience.
- Strong understanding of claims handling and insurance regulations.
- Analytical, organized, and skilled in Excel/audit systems.
Nice To Haves
- Bachelor's degree preferred; CPCU, AIC, or other insurance certifications a plus.
Responsibilities
- 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.
Benefits
- medical
- dental
- vision
- disability
- life insurance
- retirement savings
- paid time off
- paid holidays
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Number of Employees
5,001-10,000 employees
