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Intern Stop Loss Rn Jobs (NOW HIRING)

Ourhrconnect

... stop loss programs.This role Directs and oversees the Medical Review and Prior Authorization ... If RN, active RN licensure in state hired. We Prefer That You Have The Following: * Preferred Work ...

Ourhrconnect

... stop loss programs.This role Directs and oversees the Medical Review and Prior Authorization ... If RN, active RN licensure in state hired. We Prefer That You Have The Following: * Preferred Work ...

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Intern Stop Loss Rn information

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How much do intern stop loss rn jobs pay per hour?

As of Jun 21, 2026, the average hourly pay for intern stop loss rn in the United States is $16.77, according to ZipRecruiter salary data. Most workers in this role earn between $14.42 and $18.75 per hour, depending on experience, location, and employer.

What is the difference between Intern Stop Loss Rn vs Intern Case Manager?

AspectIntern Stop Loss RnIntern Case Manager
CredentialsRN license, internship or related certificationRN license, internship or related certification
Work EnvironmentInsurance companies, healthcare plans, risk managementHealthcare facilities, insurance companies, patient advocacy
Industry UsageRisk management, insurance, healthcarePatient care coordination, insurance, healthcare

Both roles typically require RN licensure and involve healthcare settings, but Intern Stop Loss Rn focuses on managing insurance risk and stop-loss policies, while Intern Case Manager emphasizes patient care coordination and case management. Understanding these differences helps clarify career paths and job expectations within healthcare and insurance industries.

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

To thrive as an Intern Stop Loss RN, you need a solid understanding of clinical nursing principles, case management, and insurance fundamentals, typically supported by an active RN license. Familiarity with healthcare management software, claims processing systems, and utilization review tools is often required. Strong analytical thinking, attention to detail, and effective communication skills help you assess cases and coordinate with providers and insurers. These abilities are crucial for ensuring accurate claims review, cost containment, and maintaining compliance within the stop loss insurance process.

What does an Intern Stop Loss RN do?

An Intern Stop Loss RN assists with managing stop loss insurance claims, which are policies that protect organizations from extremely high claims by covering costs above a certain threshold. They typically help review medical records, coordinate with healthcare providers, and support the reporting and documentation process. Under supervision, they may also learn about claims adjudication, compliance requirements, and data analysis related to stop loss cases. This role is ideal for nursing students or recent graduates interested in healthcare administration or insurance.

What types of projects or learning experiences can an Intern Stop Loss RN expect during their internship?

As an Intern Stop Loss RN, you can expect to be involved in projects that focus on reviewing medical claims for accuracy, learning about risk assessment processes, and supporting the evaluation of complex medical cases. You will often work closely with experienced Stop Loss RNs, underwriters, and claims analysts to understand how clinical knowledge informs insurance decisions. This hands-on experience provides valuable exposure to both clinical and administrative aspects of healthcare, helping you develop skills in case management, data analysis, and interdepartmental collaboration. The internship is structured to provide mentorship and feedback, fostering your growth toward more advanced roles in medical review or insurance nursing.
What are the most commonly searched types of Stop Loss Rn jobs? The most popular types of Stop Loss Rn jobs are:
Intern Stop Loss Rn jobs near you
Stop Loss Underwriter Lead

Stop Loss Underwriter Lead

Integrated Resources INC

Newark, NJ

Contractor

Medical, Life

Posted yesterday

Job description

Company Description

Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.

Job Description

Job Title: Stop Loss Underwriter Lead

Location: Newark NJ

Duration: 3 Months

This position will be the overall business owner for client's Stop Loss business. This will include Profit & Loss responsibility, business strategy, relationships, contracts, and results of any business partners, operational aspects, pricing and underwriting, relationship with actuarial support, and partnership with Sales/Account Management regarding marketing and sales strategy and results. This position will work cross functionally within client and with outside vendors and consultants to provide direction, ensure results, and build client's capability as a stop loss insurer.

Responsibilities:

  • Act as business owner, P&L owner, and thought leader in strategically and tactically designing and implementing client's stop loss products, business strategy, business partnerships, operational approach, sales & marketing approach and results, pricing and policies.
  • Build consensus with leadership of Sales/Account Management, Actuarial, Underwriting, and Enrollment & Billing.
  • Own relationships, contracts, and results of business partners.
  • Provide insight into the stop loss market from a competitive standpoint including but not limited to products offered and marketing.
  • Recommend initial approach and ongoing changes to stop loss position.
  • Include recommendations related to partners and tools (e.g., administrative and pricing).
  • Determine financial impact of recommended approaches to revenue generation efforts and P&L.
  • Maintain, update, enforce and test client's underwriting, actuarial, pricing, and marketing policies and procedures related to stop loss.
  • Train enterprise staff as necessary on stop loss and ongoing changes in policies and procedures.
  • Ensure regulatory compliance of stop loss products, contracts, and pricing.
  • Champion the needs of the Stop Loss business within the Enterprise, securing enterprise resource support and funding as necessary.
  • Medical stop-loss underwriting specifically needed. Other industry underwriting or stop-loss underwriting would not be applicable experience.


Qualifications

Education:

  • Four year college degree required.
  • Concentration in Finance or other business/analytical area a plus.
  • Prefer MBA.

Additional licensing, certifications, registrations:

  • None required. Prefer FSA/ASA.
  • Requires a minimum of 8 years stop loss industry experience.
  • Experience negotiating with external vendors required.
  • Experience leading for change is required.
  • Actuarial or underwriting expertise in stop loss required.
  • Consulting experience desired.

Competencies:

  • Requires creative thinking, strong leadership, communication, analytical and financial technical skills.
  • Must understand complex financial concepts.
  • Requires excellent interpersonal skills, the ability to interact cross functionally, build relationships, and drive change.
Additional Information

If you are not interested in looking at new opportunities at this time I fully understand. I would in that case be appreciative of any referrals you could provide from your network of friends and colleagues in the industry.

we do have referral bonus of $500 per candidate, if you refer any of your friends or colleague who are looking out for the same job.


Kind Regards

Dipti Ghodke

Senior Technical Recruiter

Integrated Resources, Inc.

IT Life Sciences Allied Healthcare CRO

Certified MBE |GSA - Schedule 66 I GSA - Schedule 621I

DIRECT # - 732 - 844 -8719

(W) # 732-549-2030 - Ext - 315

 www.irionline.com

LinkedIn: https://in.linkedin.com/in/diptighodke

Gold Seal JCAHO Certified for Health Care Staffing

"INC 5000's FASTEST GROWING, PRIVATELY HELD COMPANIES" (8th Year in a Row)

Integrated Resources logo

About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996

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