Working remotely on a full-time basis, the Aggregate Claims Auditor will investigate claims liability, process claims according to policies, and establish reserves for claim liability while ensuring compliance with contract terms. Key Responsibilities Review and interpret employer health coverage plans and excess insurance policies Audit monthly and year-end aggregate claims for payment, following up on missing documentation as necessary Communicate with third-party administrators and clients to resolve claim processing issues Required Qualifications Bachelor's Degree in Business Administration or a related field, or equivalent experience Two years of relevant professional experience in auditing and claims Broad knowledge of principles and practices related to claims auditing Strong medical knowledge, including ICD10, CPT, and medical terminology Ability to read and interpret complex documents such as benefit plans and claim reports