Specific Stop Loss Claim Auditor Intern

Corporate Benefit Audits, Inc. (CBA), a division of Risk Strategies Company, is seeking a motivated and detail-oriented Specific Stop Loss Claim Auditor Intern to join our growing team.

Headquartered in North Andover, MA since 1992, CBA provides audit services to carriers, managing general underwriters (MGUs), reinsurers, and employer groups managing healthcare risk and stop loss reinsurance programs.

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.

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.

• 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.