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Senior Stop-Loss Claims Auditor; Remote

Remote / Online - Candidates ideally in
East Orange, Essex County, New Jersey, 07017, USA
Listing for: BlueCross BlueShield of South Carolina
Full Time, Remote/Work from Home position
Listed on 2026-06-26
Job specializations:
  • Healthcare
    Health Insurance, Healthcare Administration
Job Description & How to Apply Below
Position: Senior Stop-Loss Claims Auditor (Remote)

Blue Cross Blue Shield of South Carolina is seeking a qualified professional to audit and authorize reimbursement of medical stop loss claims. You will be responsible for analyzing claims, communicating with various stakeholders, and ensuring accurate reimbursement processes.

This full-time position offers a remote or hybrid working model and requires at least 6 years of managed care or reinsurance claims experience. Join our team and benefit from a comprehensive package including health plans, retirement savings, and paid time off.

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Position Requirements
10+ Years work experience
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