Specific Stop Loss Claims Auditor

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Specific Stop Loss Claims Auditor based in the United States. The Specific Stop Loss Claims Auditor will support claims data coordination and analysis for key clients with stop loss policies managed outside pharmacy benefit managers (PBMs) and other third-party administrators. This role focuses on identifying specific stop loss claimants, preparing accurate data for claim entry, and helping ensure reliable claims operations. The successful candidate will use analytical expertise to interpret claims information, develop dashboards, and communicate meaningful insights to leadership. In addition to day-to-day data analysis, the position will contribute to continuous improvement initiatives that enhance processes and operational effectiveness. Working in a remote, collaborative environment, the role offers an opportunity to apply claims knowledge and analytical skills to support client needs and informed business decisions.