Claims Auditor, Stop Loss - Aggregate
Remote - USRemote (US)$65K – $85K
Posted 2 days ago · via Workday
About this role
The Medical Stop Loss Aggregate Auditor is responsible for reviewing and validating medical stop loss aggregate claim reimbursements by auditing claim data, eligibility, plan provisions, and contract terms. This role helps ensure aggregate reimbursements are accurate, compliant, and well-documented, while identifying variances, recoveries, and process improvements. Key Responsibilities Aggregate Reimbursement Audit & Validation Audit aggregate stop loss submissions (weekly/monthly/quarterly/annual) to confirm accuracy of: Paid claims , Contract basis , Attachment point , Aggregate deductible.…
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
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