Specific Stop Loss Claims Auditor
This is the employer's own posting, not a copy on a job board.
What we know
Is it still open?
Confirmed still open
Last checked 1d ago — checked against the employer's own applicant tracking system, which is the company answering directly.
We re-read the employer's own applicant tracking system and the posting was still there. That is the company answering directly.
How old is it?
Posted 11d ago
The date the source published, not the day we noticed it (2026-09-21). Last seen at its source 1h ago.
We have tracked this listing since 22 Sep 2026 (9 days). The employer's own board has carried it every time we have read it, most recently 1 hour ago.
Is it remote?
The listing says yes
The location field doesn't say remote, so our assessment is based on the title or the description. Read the listing before applying.
Who may apply?
United States
The description states no restriction of its own. This is the source's own tag.
Pay not stated
Similar roles pay $114k–200k/yr
Middle 50% of 447 listings that do state pay — Legal & Compliance · all levels · United States · USD/year. This employer has published no salary; this is what comparable listings we hold disclose, never converted between currencies or periods. How this is calculated.
Skills named in the ad
Recognised terms only, from a fixed vocabulary — this is what CV matching compares against.
Carried by 1 source
-
workday employer's own board first seen 9d ago · last seen 1h ago
- location not stated
The listing
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 a Specific Stop Loss Claims Auditor to join our growing team.
Corporate Benefit Audits, Inc. (CBA), a division of Risk Strategies Company, headquartered in North Andover, MA since 1992, has provided audit services to Carriers, MGU’s, Reinsurers and Employer clients managing healthcare risk and associated Stop Loss Reinsurance concerns. The incumbent is responsible for providing Specific Stop Loss claims auditing services for MGU and/or Carrier clients.
How You Will Contribute:
Analyze Specific Stop Loss claims.
Identify and isolate the data that is specific to a particular claim submission.
Validate which expenses are eligible under the stop loss policy and summary plan description.
Accurately apply all deductibles, coinsurances, aggregating specific deductibles and lasers.
Provide customer service for MGU partners and their respective TPAs.
Conduct timely follow up on all pended claims.
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 formulae, sorting techniques and PIVOT Tables.
Minimum 2 years Claims experience with first dollar medical claims, specific and/or aggregate claims, HMO reinsurance and/or provider excess claims.
claims, HMO reinsurance and/or provider excess claims.
Prior experience with industry repricing methodologies. (PPO, Wrap Networks, Reference Based Pricing, etc.).
Demonstrated proficiency in Microsoft Office, including Microsoft Outlook.
Demonstrated strong analytical/critical thinking skills; and detail‐oriented focus.
Strong written and verbal communication skills.
Ability to work independently with minimal supervision.
Preferred
Prior experience auditing managed care or specific/aggregate stop loss claims.
History of successful Process Improvement initiatives.
Pay Range
75,000.00 - 90,000.00 AnnualThe 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”.