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Brown & Brown Insurance
Brown & Brown Insurance
AsigurăriFinanțe
Brown & Brown Insurance este o companie independentă de brokeraj în asigurări și de gestionare a riscurilor, care oferă servicii persoanelor fizice și companiilor. Fondată în 1939, compania furnizează asigurări personale și comerciale, beneficii pentru angajați și programe naționale de asigurare printr-o rețea de peste 500 de locații. Cu o echipă de peste 10.000 de angajați, compania activează în sectoarele financiar și al asigurărilor și pune accent pe diversitate, incluziune și sentimentul de apartenență în cultura sa organizațională. Brown & Brown Insurance este listată la Bursa de Valori din New York sub simbolul BRO și s-a extins printr-o strategie disciplinată de fuziuni și achiziții.
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Locurile de muncă ale companiei

Remote Aggregate Claims Auditor

Review aggregate stop-loss claims, contract eligibility, funding, and attachment points for Brown & Brown customers. Prepare audit reports and address third-party administrator appeals in this remote role.

USStatele Unite ale Americii
85.000 $ – 90.000 $ / an
RemoteNormă întreagăNivel mediuSeniorLimbă Obligatorie: englezăAuditor

Descriere

  • Review year-end aggregate stop-loss, high-level review, and aggregate accommodation claims.
  • Confirm expenses meet the aggregate stop-loss contract’s eligibility terms.
  • Identify and verify eligibility exceptions and extra-contractual claims.
  • Check funding.
  • Evaluate enrollment and calculate whether the correct calculated or minimum attachment point applies.
  • Prepare client audit reports, exhibits, and non-exhibits within accepted timelines.
  • Respond to appeals from third-party administrators.
  • Suggest ideas and help implement new processes.

Cerințe

  • Proficiency with Excel, including basic or advanced formulas and PivotTables.
  • At least 3–4 years of experience with self-funding and specific or aggregate claims, or reinsurance claims.
  • Proficiency with Microsoft Office applications, including Word and Outlook.
  • Strong analytical and critical-thinking skills.
  • Strong organizational and time-management skills, with close attention to detail.
  • Strong written and verbal communication skills.
  • Ability to work independently with minimal supervision.
  • Willingness to travel occasionally, if needed.
  • Preferred: experience with self-funding and stop-loss products.
  • Preferred: experience reviewing or auditing aggregate stop-loss claims.
  • Preferred: a track record of successful process-improvement initiatives.

Beneficii

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

Locuri de muncă similare

BlueCross BlueShield of South Carolina

Auditor II, Medicare Cost Reporting

BlueCross BlueShield of South Carolina
Asistență medicalăConsultanțăJuridic
USStatele Unite ale AmericiiALAlabamaAKAlaskaAZArizonaCACaliforniaCOColoradoCTConnecticutFLFloridaHIHawaiiIDIdahoILIllinoisIAIowaKSKansasKYKentuckyLALouisianaMEMaineMDMarylandMAMassachusettsMIMichiganMNMinnesotaMSMississippiMOMissouriMTMontanaNENebraskaNVNevadaNHNew HampshireNJNew JerseyNMNew MexicoNYNew YorkNCCarolina de NordNDDakota de NordOHOhioOKOklahomaOROregonPAPennsylvaniaRIRhode IslandSCCarolina de SudSDDakota de SudTNTennesseeTXTexasUTUtahVTVermontVAVirginiaWAWashingtonWIWisconsinWYWyoming
49.447 $ – 94.737 $ / an
RemoteNormă întreagăNivel mediuSeniorLimbă Obligatorie: englezăAuditor

Conducts financial, compliance, and operational audits for BlueCross Blue Shield of South Carolina, with a focus on Medicare cost reports. Evaluates controls and business risks, recommends corrective actions, and supports remote audits across the United States.

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