Aggregate Stop Loss Claims Auditor

Posted Yesterday
Be an Early Applicant
Hiring Remotely in USA
Remote
75K-90K Annually
Mid level
Insurance
The Role
Audit aggregate stop loss claims, validate contract eligibility and exceptions, review enrollment and attachment-point calculations, verify funding, and prepare client audit reports and exhibits. The role also responds to TPA appeals, supports process improvements, and works independently while maintaining strong analytical, organizational, communication, and detail-oriented standards.
Summary Generated by Built In

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.

Brown & Brown is seeking an Aggregate Stop Loss Claims Auditor to join our growing team! 

 

How You Will Contribute: 

  • Analyze Aggregate Stop Loss Year End claims, High Level Review and Aggregate Accommodation claims. 

  • Validate which expenses are eligible under the aggregate stop loss contract, identify and validate eligibility exceptions, extra-contractual claims and verify funding. 

  • Perform enrollment evaluation and calculations to ensure the correct calculated or minimum attachment point is applied. 

  • Produce deliverables related to audit findings, including Audit Report for client, Exhibits and Non Exhibits, within the Company accepted timeframes; and respond to all appeals from TPAs. 

  • Contribute innovative ideas and assist with the implementation of new processes. 

 

Skills & Experience to be Successful: 

  • Must have Excel Proficiency to include knowledge of Basic or Advanced Formulae and PIVOT Tables. 

  • Minimum 3-4 years of experience with self-funding plus specific and/or aggregate claims; or reinsurance claims. 

  • Demonstrated proficiency in Microsoft Office, to include Microsoft Word and Outlook. 

  • Demonstrated strong analytical/critical thinking skills. 

  • Demonstrated organizational skills, time management skills and detailoriented focus. 

  • Strong written and verbal communication skills. 

  • Ability to work independently with minimal supervision. 

  • Occasional travel may be needed. 

 

Preferred: 

  • Prior experience with self-funding and the stop loss product. 

  • Prior experience reviewing and/or auditing aggregate stop loss claims. 

  • History of successful Process Improvement initiatives. 

Pay Range

$75,000 - $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 the role.

Teammate Benefits & Total Well-Being

We go beyond standard benefits, focusing on the total well-being of our teammates, including:

  • Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance  
  • Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement 
  • Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services
  • Beyond Benefits: Paid Time Off, Holidays, Preferred Partner Discounts and more. 

Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations. 


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 received 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.

The Power To Be Yourself  

As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”. 

Skills Required

  • Proficiency with Microsoft Excel, including basic or advanced formulas and Pivot Tables
  • Minimum 3–4 years of experience with self-funding and specific or aggregate claims, or reinsurance claims
  • Proficiency with Microsoft Office, including Microsoft Word and Outlook
  • Strong analytical and critical-thinking skills
  • Strong organizational and time-management skills
  • Detail-oriented focus
  • Strong written and verbal communication skills
  • Ability to work independently with minimal supervision
  • Prior experience with self-funding and stop loss products
  • Prior experience reviewing or auditing aggregate stop loss claims
  • History of successful process improvement initiatives

Brown & Brown Insurance Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Brown & Brown Insurance and has not been reviewed or approved by Brown & Brown Insurance.

  • Healthcare Strength Healthcare offerings are broad, spanning medical/Rx, dental, vision, life, disability, and added programs alongside Lyra access with up to eight no‑cost coaching or therapy sessions for teammates and covered dependents. Breadth extends to fertility/adoption solutions, second‑opinion services, diabetes care, and Medicare advocacy.
  • Retirement Support The 401(k) program includes an employer match up to 4% (100% of the first 3% plus 50% of the next 2%) with immediate vesting. Savings support is positioned as a core element of the total‑rewards package.
  • Equity Value & Accessibility An Employee Stock Purchase Plan is available, and the company emphasizes an ownership mindset with a large share of teammates as shareholders. This creates accessible equity participation alongside retirement savings.

Brown & Brown Insurance Insights

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The Company
HQ: Daytona Beach, FL
2,391 Employees
Year Founded: 1939

What We Do

Brown & Brown Insurance provides risk management solutions to help protect what our customers value most. Our four business segments offer insurance products and services to businesses and individuals. Our culture is built on integrity, innovation, superior capabilities, and discipline. We view insurance differently and use our experience, carrier relationships, and principled customer focus to deliver first-class service and solutions. Becoming a Brown & Brown teammate introduces you to a career with virtually unlimited possibilities. We think of ourselves as a team, so we have teammates—not employees. We strive to attract people who are competitive, driven, and disciplined. Our unique company culture of meritocracy rewards self-starters and those committed to doing what is best for our customers. We are proud to be certified as a Great Place to Work ®. Brown & Brown has demonstrated a Culture of Caring through dedication to the people and communities we serve. With more than 11,000 teammates in over 300 locations across the US, Canada, Ireland, the UK, Bermuda, and the Cayman Islands, we actively support numerous organizations in the local communities in which we live, work, and play. With a long-standing history of proven success, Brown & Brown is one of the insurance industry’s most powerful and influential leaders, ranked as the fifth-largest brokerage in the US and sixth in the world. You can find us on the NYSE as BRO.

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