Aggregate Claims Auditor
Remote - USRemote (US)$52K – $90K
Posted today · via Workday
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. Successful Candidate Will Have Excel proficiency including knowledge of basic or advanced Formulas and PIVOT Tables. Minimum 3-4 years of experience with self-funding in combination with specific stop loss claims, first dollar medical claims, aggregate claims, HMO reinsurance, and provider excess claims.…
Read the full description on RSC Insurance Brokerage's site →
What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
We compare your skills against the role requirements.
2
Level fit
We check your title trajectory against the seniority signal of the role.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is remote-eligible — we factor in your stated location and time-zone overlap.
Score yourself on this role.
Free · no card · written explanation included