Specific Stop Loss Claim Auditor Intern
Core
Intern supporting the Audit Team by reviewing medical claim documentation, analyzing data, and assisting with stop loss claim audits.
Role type
Intern, healthcare claims auditor
Builds
Audit reports and summaries for self-funded health plan sponsors
Domain
Healthcare insurance and claims administration
Deliverable
dashboards & analysis
Required skills
Medical claim documentation review, data analysis, Microsoft Excel proficiency, attention to detail, organizational skills
Preferred skills
Healthcare claims processing knowledge, medical billing concepts, Excel pivot tables, database applications experience, reimbursement methodologies familiarity
Technologies
Microsoft Excel, Microsoft Office, Microsoft Access
Responsibilities
Review and audit specific stop loss claim submissions, validate claim documentation for accuracy, analyze medical and pharmaceutical claims data, identify claim discrepancies and overpayments, prepare client reports and audit summaries, maintain confidentiality of protected health information
Seniority
Intern, student or early-career
