full-timeUnited States1 weeks ago
Aggregate Claims Auditor
Risk Strategies
$52k - $90k
See jobs picked for you, not just this one
Take the 3 minute quiz and get matched with remote roles based on your timezone, skills, and async needs.
Get matched →claims-auditinginsurance-claims-processingstop-loss-claimshealthcare-claimsinsurance-auditingclaims-auditoraggregate-claimsclaims-audit-analystclaims-audit-specialistclaims-quality-auditorclaims-audithealthcare-claims-auditor
About this role
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.…