Brown & Brown Insurance
Brown & Brown Insurance
Brown & Brown Insurance je neodvisna zavarovalniška borznoposredniška družba in podjetje za upravljanje tveganj, ki nudi storitve posameznikom in podjetjem. Ustanovljena je bila leta 1939 ter prek mreže več kot 500 lokacij zagotavlja osebna in komercialna zavarovanja, ugodnosti za zaposlene in nacionalne zavarovalne programe. Z več kot 10.000 zaposlenimi deluje v finančnem in zavarovalniškem sektorju ter v svoji delovni kulturi poudarja raznolikost, vključenost in občutek pripadnosti. Brown & Brown Insurance kotira na newyorški borzi pod oznako BRO in se širi z disciplinirano strategijo združitev in prevzemov.

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.

Opis

  • 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.

Zahteve

  • 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.

Ugodnosti

  • 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

Sorodna delovna mesta

BlueCross BlueShield of South Carolina

Auditor II, Medicare Cost Reporting

BlueCross BlueShield of South Carolina

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.

Odpri