Specific Stop Loss Claim Auditor Intern

Brown & Brown Insurance

6d • Remote

About The Position

CTI Audit Solutions is seeking a Specific Stop Loss Claim Auditor Intern to support its Audit Team. The internship is intended for students or early-career professionals interested in healthcare claims, insurance, data analysis, and auditing. The intern will review medical claim documentation, analyze data, and assist with stop loss claim audits while gaining experience in healthcare claims administration, reimbursement methodologies, and audit processes alongside experienced professionals. The position is remote, approximately 20 hours per week, with flexible scheduling.

Requirements

• Currently a college sophomore pursuing a degree in healthcare or a science-related field.
• Strong analytical and critical thinking skills.
• High attention to detail and strong organizational skills.
• Proficiency in Microsoft Office, particularly Excel, Word, and Outlook.
• Excellent written and verbal communication skills.
• Ability to work independently and manage multiple tasks in a remote environment.

Nice To Haves

• Coursework or internship experience related to healthcare, insurance, auditing, or claims administration.
• Familiarity with healthcare claims processing or medical billing concepts.
• Experience using Excel features such as formulas, sorting, filtering, and pivot tables.
• Exposure to healthcare reimbursement methodologies, including Medicare, DRG, or RBRVS.
• Experience with Microsoft Access or other database applications.

Responsibilities

• Assist with reviewing and auditing specific stop loss claim submissions.
• Validate claim documentation and supporting records for completeness and accuracy.
• Analyze medical and pharmaceutical claims data.
• Assist in identifying claim discrepancies, overpayments, and audit findings.
• Use Excel and other Microsoft Office applications to organize, analyze, and report data.
• Support auditors in preparing client reports and audit summaries.
• Participate in process improvement initiatives and special projects.
• Maintain confidentiality of protected health information (PHI) and sensitive client data.
• Communicate with team members regarding audit findings and project status.

Benefits

• Medical and prescription drug coverage
• Dental insurance
• Vision insurance
• Life insurance
• Disability insurance
• Employee stock purchase plan (ESPP)
• 401(k)
• Student loan assistance
• Tuition reimbursement
• Free mental health and enhanced advocacy services
• Paid time off
• Paid holidays
• Preferred partner discounts

What This Job Offers

• Job Type: Part-time
• Career Level: Intern
• Education Level: No Education Listed