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Senior Claims Auditor
Endurance
Posted: 10/19/2026Aggregate Claims Auditor
Brown & Brown InsuranceCore Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in analyzing and validating aggregate stop loss claims, ensuring compliance with contract eligibility, and producing detailed audit deliverables. Proficient in Excel and Microsoft Office, with strong analytical, organizational, and communication skills to support process improvements.
Highest-signal resume keywords
Excel ProficiencyAggregate Stop Loss Claims AnalysisSelf-Funding ExperienceStrong Analytical SkillsProcess Improvement Initiatives
About the role
Key responsibilities & impact- Analyze Aggregate Stop Loss Year End claims, High Level Review and Aggregate Accommodation claims
- Validate which expenses are eligible under the aggregate stop loss contract
- Identify and validate eligibility exceptions and extra-contractual claims
- Verify funding
- Perform enrollment evaluation and calculations to ensure the correct calculated or minimum attachment point is applied
- Produce audit deliverables, including client Audit Reports, Exhibits and Non Exhibits, within company-accepted timeframes
- Respond to all appeals from TPAs
- Contribute innovative ideas and assist with implementing new processes
Requirements
What you’ll need- Excel proficiency, including knowledge of basic or advanced formulae and Pivot Tables
- Minimum 3-4 years of experience with self-funding plus specific and/or aggregate claims, or reinsurance claims
- Proficiency in Microsoft Office, including Microsoft Word and Outlook
- Strong analytical/critical thinking skills
- Organizational skills, time management skills and detail-oriented focus
- Strong written and verbal communication skills
- Ability to work independently with minimal supervision
- Occasional travel may be needed
- Prior experience with self-funding and the stop loss product (preferred)
- Prior experience reviewing and/or auditing aggregate stop loss claims (preferred)
- History of successful process improvement initiatives (preferred)
Benefits
Comp & perks- Medical/Rx
- Dental
- Vision
- Life Insurance
- Disability Insurance
- ESPP
- 401k
- Student Loan Assistance
- Tuition Reimbursement
- Free Mental Health & Enhanced Advocacy Services
- Paid Time Off
- Holidays
- Preferred Partner Discounts
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Aggregate Stop Loss ClaimsSelf-Funding ClaimsReinsurance ClaimsAudit Deliverables ProductionEnrollment EvaluationEligibility ValidationFunding VerificationAdvanced Excel FormulaePivot Tables
Soft Skills
Analytical ThinkingOrganizational SkillsTime ManagementDetail-OrientedWritten CommunicationVerbal CommunicationIndependent Work
Tools & Technologies
Microsoft OfficeMicrosoft ExcelMicrosoft WordMicrosoft Outlook
Industry Keywords
Aggregate Accommodation ClaimsEligibility ExceptionsExtra-Contractual ClaimsClient Audit ReportsTPA AppealsProcess Implementation