Risk Strategies Company
A Specialist Approach
Senior Stop Loss Claims Auditor
Location
United States
Posted
34 days ago
Salary
$51.8K - $75K / year
Seniority
Senior
Bachelor Degree4 yrs expEnglish
Job Description
• Conduct detailed audits of high-complexity claims files to ensure compliance, accuracy, and adherence to company procedures and regulatory requirements.
• Perform in-depth claims file reviews for accuracy and compliance.
• Document findings and provide recommendations for corrective action.
• Identify trends and collaborate with departments to improve claim practices.
• Support audit reporting and analytics.
Job Requirements
- Bachelor's degree preferred; CPCU, AIC, or other insurance certifications a plus.
- 4 - 6 years of claims or audit experience.
- Strong understanding of claims handling and insurance regulations.
- Analytical, organized, and skilled in Excel/audit systems.
Benefits
- medical
- dental
- vision
- disability
- life insurance
- retirement savings
- paid time off
- paid holidays
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