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Director Stop Loss Rn Jobs in Philadelphia, PA (NOW HIRING)

Berkley

Account Manager- Stop Loss

Trenton, NJ · Hybrid

$50K - $80K/yr

Reporting to the Director of Account Management, you'll ensure a smooth experience from renewal ... Act as a primary day-to-day contact for assigned Stop Loss renewal accounts * Manage the full ...

Novacore

Sr. Underwriter, Stop Loss

Conshohocken, PA · On-site

$96K - $114K/yr

Minimum 2 years of direct experience in medical stop-loss underwriting, with a proven track record of managing complex accounts. * Deep understanding of self-funded health plans, TPA's, and ...

Berkley

Account Manager- Stop Loss

Trenton, NJ · Hybrid

$50K - $80K/yr

Reporting to the Director of Account Management, you'll ensure a smooth experience from renewal ... Act as a primary day-to-day contact for assigned Stop Loss renewal accounts * Manage the full ...

New

Berkley

Account Manager- Stop Loss

Trenton, NJ · On-site

$50K - $80K/yr

Reporting to the Director of Account Management, you'll ensure a smooth experience from renewal ... Act as a primary day-to-day contact for assigned Stop Loss renewal accounts * Manage the full ...

Novacore

Sr. Underwriter, Stop Loss

Conshohocken, PA

$96K - $114K/yr

Minimum 2 years of direct experience in medical stop-loss underwriting, with a proven track record of managing complex accounts. * Deep understanding of self-funded health plans, TPA's, and ...

CVS Health

Manager, Underwriter

Blue Bell, PA · On-site

Including administrative fee pricing, stop loss, RFP questionnaire responses, and plan consultation ... Support hiring, onboarding, and ongoing talent development of direct reports. * May provide ...

Novacore

Technical Underwriter

Conshohocken, PA · Hybrid

Carbon Stop Loss Solutions is a leading managing general underwriter (MGU) in the field of employer ... Send Off Initial Nurse Review * Run Renewal Reports * Complete Matrix * Enter Aggregate and Shock ...

Novacore

Technical Underwriter

Conshohocken, PA · On-site

Carbon Stop Loss Solutions is a leading managing general underwriter (MGU) in the field of employer ... Send Off Initial Nurse Review * Run Renewal Reports * Complete Matrix * Enter Aggregate and Shock ...

TNAA TotalMed RN

Travel OR RN

Abington, PA · On-site

Additional duties for RN First Assistant may include: * Assist physicians by delivering direct surgical care. * Help control bleeding. * Suture patients following surgery. OR Travel Nurses should be ...

TNAA TotalMed RN

Travel OR RN

Abington, PA · On-site

Additional duties for RN First Assistant may include: * Assist physicians by delivering direct surgical care. * Help control bleeding. * Suture patients following surgery. OR Travel Nurses should be ...

TNAA TotalMed RN

Travel OR RN

Harrison Township, NJ · On-site

Additional duties for RN First Assistant may include: * Assist physicians by delivering direct surgical care. * Help control bleeding. * Suture patients following surgery. OR Travel Nurses should be ...

TNAA TotalMed RN

Travel OR RN

Harrison Township, NJ · On-site

Additional duties for RN First Assistant may include: * Assist physicians by delivering direct surgical care. * Help control bleeding. * Suture patients following surgery. OR Travel Nurses should be ...

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All JobsStop Loss Rn JobsDirector Stop Loss Rn JobsDirector Stop Loss Rn Jobs in Philadelphia, PA

Director Stop Loss Rn information

See Philadelphia, PA salary details

$56K

$109.7K

$172K

How much do director stop loss rn jobs pay per year?

As of Aug 24, 2026, the average yearly pay for director stop loss rn in Philadelphia, PA is $109,663.00, according to ZipRecruiter salary data. Most workers in this role earn between $83,800.00 and $126,600.00 per year, depending on experience, location, and employer.

What does a Director Stop Loss RN do?

A Director Stop Loss RN is a registered nurse who oversees and manages stop loss insurance programs within healthcare organizations. Their primary responsibility is to evaluate high-cost claims, coordinate care management, and ensure that stop loss coverage is effectively utilized to protect the organization from excessive financial losses. They also collaborate with clinical teams, insurers, and third-party administrators to optimize patient outcomes and cost containment strategies. Additionally, they may be involved in policy development, compliance, and reporting related to stop loss insurance.

What are some common challenges faced by a Director Stop Loss RN, and how can they be addressed?

A Director Stop Loss RN often encounters challenges such as balancing complex case reviews with administrative responsibilities, ensuring compliance with changing regulations, and effectively communicating with both clinical and non-clinical teams. Addressing these challenges requires strong organizational skills, continuous education on industry updates, and fostering open communication channels with underwriters, claims analysts, and healthcare providers. Prioritizing tasks and leveraging technology for data management can also help streamline workflows and enhance team collaboration.

What are the key skills and qualifications needed to thrive as a Director Stop Loss RN, and why are they important?

To thrive as a Director Stop Loss RN, you need extensive clinical nursing experience, a current RN license, and strong knowledge of stop loss insurance and healthcare risk management. Familiarity with claims adjudication systems, utilization review software, and relevant certifications such as CCM (Certified Case Manager) are highly beneficial. Leadership, analytical thinking, and effective communication are crucial soft skills for overseeing teams and collaborating with stakeholders. These skills ensure accurate risk assessment, efficient claims processing, and optimal financial and clinical outcomes for organizations.

What is the difference between Director Stop Loss Rn vs Stop Loss Nurse?

AspectDirector Stop Loss RnStop Loss Nurse
CredentialsRN license, industry certificationsRN license, specialized training
Work EnvironmentManagement, policy development, oversightPatient care, clinical support
Employer & IndustryInsurance companies, healthcare organizationsHospitals, clinics, insurance providers
Search & Comparison IntentLeadership roles in stop loss insuranceClinical roles related to stop loss coverage

The main difference is that the Director Stop Loss Rn focuses on managing stop loss insurance programs from a leadership and policy perspective, often overseeing teams and strategy. In contrast, the Stop Loss Nurse is primarily involved in clinical patient care and support within the stop loss insurance context. Both roles require RN credentials but serve different functions within the healthcare and insurance industries.

What cities near Philadelphia, PA are hiring for Director Stop Loss Rn jobs?

Cities near Philadelphia, PA with the most Director Stop Loss Rn job openings:

Director Stop Loss Rn jobs near you
Infographic showing various Director Stop Loss Rn job openings in Philadelphia, PA as of August 2026, with employment types broken down into 57% Full Time, 29% Part Time, and 14% Contract. Highlights an 86% In-person, and 14% Hybrid job distribution, with an average salary of $109,663 per year, or $52.7 per hour.

Account Manager- Stop Loss

Berkley

Trenton, NJ • Hybrid

$50K - $80K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago

Job description

Company Details

Berkley Accident and Health is a risk management company that designs innovative solutions to address the unique challenges of each client. With our entrepreneurial culture and a strong emphasis on analytics, we can help employers better manage their risk. We offer a broad range of products, including employer stop loss, benefit captives, provider stop loss, HMO reinsurance, and specialty accident. The key to Berkley's success is our nimble approach to risk - our ability to quickly understand, think through, and devise a plan that addresses each client's challenges, coupled with the strong backing of a Fortune 500 company. Our parent company, W. R. Berkley Corporation, is one of the largest and best managed property/casualty insurers in the United States.

#LI-AV1 #LI-HYBRID

The Company is an equal employment opportunity employer.  

Responsibilities

Join a growing team supporting employer Stop Loss programs and play a key role in delivering exceptional client and broker experiences.

As an Account Manager in our Stop Loss business, you'll support the employer stop loss programs and partner closely with brokers, third party administrators (TPAs), and policyholders to manage the day-to-day administration of Stop Loss renewal accounts.  Reporting to the Director of Account Management, you'll ensure a smooth experience from renewal through ongoing servicing.  In this role, you'll own the renewal and ongoing servicing experience while working closely with internal teams to deliver seamless outcomes.

This is an excellent opportunity for someone who enjoys managing details, building long-term relationships, and being relied upon as a subject-matter expert in a collaborative, high-performing environment. 

This position will be based in one of our offices:

  • Hamilton Square, NJ
  • Marlborough, MA
  • Harleysville, PA

We offer hybrid work schedule with 4 days in the office; and 1 day remote where it makes sense to do so.

What you can expect:

  • Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talent
  • Internal mobility opportunities 
  • Visibility to senior leaders and partnership with cross functional teams
  • Opportunity to impact change
  • Benefits - competitive compensation, paid time off, comprehensive wellness benefits and programs, employer funded health savings account, profit sharing, 401k, paid parental leave, employee stock purchase plan, tuition assistance and professional continuing education

We'll count on you to: 

  • Act as a primary day-to-day contact for assigned Stop Loss renewal accounts
  • Manage the full renewal lifecycle from acceptance through policy issuance with accuracy and timelines
  • Coordinate with brokers, TPAs, and internal teams on compliance, licensing, paperwork, and reporting
  • Review and process implementation and renewal documentation, including premium and stop-loss remittance
  • Monitor premium collections, resolve discrepancies, and partner with internal teams for timely resolution
  • Collaborate cross-functionally with Sales, Underwriting, Claims, Policy Issuance, and Quality teams
  • Support Business Development and Sales efforts to ensure client satisfaction and retention
Qualifications

What you need to have:

  • Strong communication, organization, and relationship-building skills
  • Ability to prioritize, work independently, and manage multiple deadlines
  • Proficiency in Microsoft Outlook, Word, Excel, and PowerPoint
  • Willingness to travel up to 10-15%

What makes you stand out:

  • College degree or equivalent experience
  • 3+ years of experience in StopLoss, self-funding or group insurance
  • Proven client or account management experience
  • Prior Account Manager experience
  • Strong knowledge of Employer Stop Loss or self-funding
  • Presentation and broker-facing experience
Additional Company DetailsWe do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include: Base Salary Range: $50,000 - $80,000 Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.Employment Type: OTHER

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