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 CTI’s 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 initiati