RSC Insurance Brokerage, Inc. is looking for a Senior Stop Loss Claims Auditor to conduct detailed audits of high-complexity claims files, ensuring compliance, accuracy, and adherence to company procedures and regulatory requirements.
What You'll Do
- 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.
What We're Looking For
- 4 - 6 years of claims or audit experience specific to stop loss or first dollar medical.
- Strong understanding of claims handling practices and insurance regulations.
- Analytical mindset, highly organized, and skilled with Excel and audit systems.
Nice to Have
- Bachelor's degree.
- Insurance certifications such as CPCU or AIC.
Technical Stack
- Excel
- Audit systems
Benefits & Compensation
- Annual salary range: $51,800 - $75,000
- Medical, dental, and vision insurance
- Disability and life insurance
- Retirement savings plan
- Paid time off and holidays
Risk Strategies is an equal opportunity workplace and is committed to ensuring equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics.
