Brown & Brown

Brown & Brown

Seasonal Senior Claims Auditor/Consultant

Remote - Pennsylvania · Senior

Sponsorship not specifiedDetected 4 days ago
AuditingUnderwriting

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odds of building a lasting career here

37Risky
Cap-exempt (no lottery)0
Sponsors this role80
Entry-level history0
PERM / green-card track0
Lottery odds40
Fits your clock70

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Employer immigration record

from this employer's Department of Labor filings

Files H-1B transfers

1 transfer filing in the last year, covering 1 worker. Median labor-condition decision: 7 days. An employer that already files transfers is one that can take over an existing H-1B.

Sourced from Department of Labor LCA, PERM and prevailing-wage disclosure data. Employer matching is by name, so figures may be split across an employer's legal entities. Absence of a filing means none appears in our copy of the data, not that none exists.

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About the role

  • One80 Intermediaries is seeking a Seasonal Senior Claims Auditor/Consultant to join our growing team!
  • The Senior Claims Consultant is responsible for the effective management, review, adjudication, and resolution of complex Employer Stop Loss claims within established authority levels.
  • This position provides senior-level technical expertise in claims analysis, contract interpretation, claim payment accuracy, eligibility, large-loss management, reserving, and audit oversight.

Responsibilities

  • Manage and adjudicate a portfolio of complex Employer Stop Loss claims within established authority levels and in accordance with policy and contract provisions.
  • Manage large-loss claims and provide timely reporting, analysis, recommendations, and escalation to the Vice President of Claims and other appropriate stakeholders.
  • Work closely with TPAs and external claims administrators to resolve complex claims issues, validate claim information, and ensure adherence to contractual and administrative requirements.
  • Manage inquiries and escalated claim matters from brokers, TPAs, plan sponsors, Underwriting, reinsurers, and other stakeholders, providing clear, timely, and professional responses.

Requirements

  • 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.

Skills

  • Bachelor's degree required.
  • Demonstrated experience handling complex and high-dollar medical claims.
  • Experience with claims auditing, adjudication, payment review, and claims analysis.
  • Experience managing large-loss claims and making reserve recommendations.

Compensation

  • $65.00 - $65.00 Hourly
  • The 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.

Benefits

  • Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
  • ESPP; 401k; Student Loan Assistance; Tuition Reimbursement
  • Mental Health & Wellness:
  • Free Mental Health & Enhanced Advocacy Services
  • 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.

Company info

  • Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.

Equal opportunity

  • 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".
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This listing is sourced directly from Brown & Brown's careers page and normalized into a canonical job model.