Specific Stop Loss Claim Auditor Intern

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. CTI Audit Solutions is seeking a specific stop loss claim auditor intern to joining our growing team! For over 30 years it has been CTIs mission to help self-funded health plan sponsors reduce claim expense and improve service to their employees through independent audit and control of their third-party claim administration. Our philosophy of continuous quality improvement (CQI) techniques in conjunction with our statistical process control methodology allows us to ensure a high degree of consistency in our approach to medical claim auditing. Efficient planning and maximized use of our proprietary systems and technology produces a streamlined audit product requiring fewer hours than competitors to complete. This internship offers an excellent opportunity for students or early-career professionals interested in healthcare claims, insurance, data analysis, and auditing. The position is remote and approximately 20 hours per week, with flexible scheduling. Position Summary: The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim documentation, analyzing data, and assisting with stop loss claim audits. The intern will gain hands-on experience with healthcare claims administration, reimbursement methodologies, and audit processes while working alongside experienced professionals in the industry. Key Responsibilities Assist with reviewing and auditing specific stop loss claim submissions. Validate claim documentation and supporting records for completeness and accuracy. Analyze medical and pharmaceutical claims data. Assist in identifying claim discrepancies, overpayments, and audit findings. Utilize Excel and other Microsoft Office applications to organize, analyze, and report data. Support auditors in preparing client reports and audit summaries. Participate in process improvement initiatives and special projects. Maintain confidentiality of protected health information (PHI) and sensitive client data. Communicate effectively with team members regarding audit findings and project status. Qualifications Required Qualifications Currently a sophomore in college pursuing a degree in Healthcare or a Science related field. Strong analytical and critical thinking skills. High attention to detail and strong organizational skills. Proficiency in Microsoft Office, particularly Excel, Word, and Outlook. Excellent written and verbal communication skills. Ability to work independently and manage multiple tasks in a remote environment. Preferred Qualifications Coursework or internship experience related to healthcare, insurance, auditing, or claims administration. Familiarity with healthcare claims processing or medical billing concepts. Experience using Excel features such as formulas, sorting, filtering, and pivot tables. Exposure to healthcare reimbursement methodologies, including Medicare, DRG, or RBRVS. Experience with Microsoft Access or other database applications. Pay Range $19.00 - $19.00 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. Teammate Benefits & Total Well-Being We go beyond standard benefits, focusing on the total well-being of our teammates, including: Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services Beyond Benefits: 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. Recruiting Vendor Disclosure Statement Brown & Brown does not accept unsolicited resumes from external recruiters, recruitment vendors or employment agencies ("Recruiting Vendors"). 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. Any unsolicited resumes submitted to Brown & Brown or its employees become the property of Brown & Brown, and no fees will be paid for such submissions. Additional information regarding this policy can be found on our careers page. The Power To Be Yourself 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. We think of ourselves as a team, so we have teammates - not employees. We strive to attract people who are competitive, driven, and disciplined. Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Founded in 1939 as a small, two-partner firm, Brown & Brown (NYSE: BRO) and our team of companies have grown into one of the worlds largest insurance brokerages while staying true to our foundation of trust, resilience, and delivering results. With a team that is as connected locally as it is globally, our high-performing, highly collaborative team delivers innovative risk and insurance solutions. We look for individuals who embrace our culture, thrive in a collaborative environment, are driven to grow and succeed, and are committed to always doing what is right. With a unique culture built on integrity, superior capabilities and grit, we value teamwork, trust and courage. We think of ourselves as a team, so we have teammatesnot employees, and leadersnot managers. Everything we do is about the greater WEnever me.While diverse in abilities and experience, we are all connected through our core values, a commitment to our local communities and a shared missionalways doing what is best for our customers. Brown & Brown and its affiliates maintain an internal recruiting team responsible for filling open roles posted to the public. In certain situations, Brown & Brown may supplement its internal capabilities by engaging external recruiting vendors and employment agencies (Recruiting Vendors). Recruiting Vendors are not authorized to submit resumes, share candidate data, or directly or indirectly contact Brown & Brown employees to present candidates for employment opportunities. The only exception applies to Recruiting Vendors with an active Valid Agreement (as defined below) that has been approved by Brown & Brown. In accordance with this policy, and to ensure appropriate authorization for sharing candidate personal information, Brown & Brown will not accept unsolicited resumes from any source other than Authorized Recruiting Vendors with a Valid Agreement in place who have been expressly invited to support a specific role. Any unsolicited resumes, incomplete submissions, or candidate data received through any means (including email or otherwise) will be considered the property of Brown & Brown. Brown & Brown will not pay any placement or related fees for unsolicited submissions or candidate data provided in violation of this policy. Such submissions may be used by Brown & Brown without any obligation to pay fees of any kind to Recruiting Vendors. A Valid Agreement is defined as a written contract signed by an authorized representative of Brown & Brown. In the absence of a Valid Agreement, Brown & Brown assumes no liability under any legal theory, including but not limited to breach of contract, breach of implied contract, tortious interference, quantum meruit, any/or any other contractual or equitable claims in connection with candidates identified through unsolicited submissions made in violation of this policy. If you are an existing Brown & Brown teammate, please click here to apply to a job on our internal career site.