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Senior Medical Stop-Loss Claims Auditor

Job in Duluth, St. Louis County, Minnesota, 55806, USA
Listing for: Tokio Marine HCC – A&H Group
Full Time position
Listed on 2026-07-31
Job specializations:
  • Insurance
    Insurance Claims, Insurance Analyst
Salary/Wage Range or Industry Benchmark: 56600 - 125000 USD Yearly USD 56600.00 125000.00 YEAR
Job Description & How to Apply Below

Tokio Marine HCC is seeking a Claims Auditor to investigate liability on submitted health and excess claims. You will review plans, audit documentation, and determine reserves within policy guidelines, communicating findings professionally to clients and internal teams.

The role requires strong medical knowledge (ICD, CPT, HIPAA), excellent communication, and rigorous attention to accuracy across multiple claims experiences. Join a leading specialty insurer and contribute to accurate reserving.

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Position Requirements
10+ Years work experience
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