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As of Sep 13, 2026, the average yearly pay for loss reporting representative in the United States is $44,219.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,500.00 and $43,000.00 per year, depending on experience, location, and employer.

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Infographic showing various Loss Reporting Representative job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 12% Part Time, 1% Temporary, and 4% Contract. Highlights an 90% Physical, 4% Hybrid, and 6% Remote job distribution, with an average salary of $44,219 per year, or $21.3 per hour.

Senior Stop Loss Representative

Philadelphia, PA • On-site

Independence Blue Cross
Insurance Services • 1 - 5K employees

$19.50 - $26.75/hr

Full-time

Re-posted 4 days ago


Independence Blue Cross rating

8.8

Company rating: 8.8 out of 10

Based on 26 frontline employees who took The Breakroom Quiz


Job description

The SR. Stop Loss Representative is responsible for the administration and reporting for branded (Blue) and unbranded (AmeriHealth) customers for Independence, Independence Administrators, and AmeriHealth Administrators.
This position is responsible for reviewing, evaluating and processing various Excess Risk and Reinsurance Claims. It is responsible for promoting positive client relationships, education and analysis of client claims losses as well as analysis and resolution of current Stop Loss reimbursement issues. Work collaboratively with our internal and external customers including Sales, Client Retention, Audit, Claims, Enrollment, Contracts, Legal, OPL, Patient Care Management, Groups, Brokers, and Stop Loss Carriers (both managing general underwriters and reinsurers).
  • Manage Inventory
  • Maintain claimant files.
  • Update group/broker/carrier contact information as needed.
  • Distribute monthly stop loss reporting.
  • Process external pbm files monthly
  • Open tickets for issues and follow through to resolution.
  • Follow up on all open items timely.
  • Reconcile accounts, communicate discrepancies immediately.
  • Manage working relationships with internal and external business partners.
  • Attend meetings to resolve issues as needed.
  • Perform other duties as necessary or appropriate for the position.

Qualifications
  • Two years related experience in claims processing or stop loss and or reinsurance required

  • Ability to prioritize varied tasks to ensure the timely and accurate completion of each task

  • Self-starter, highly motivated, problem solver with the ability to work independently in a fast pace environment

  • Demonstrate exceptional comprehension and communication skill

  • The ability to perform appropriate research, make responsible decisions, and demonstrate customer-focused professionalism required

  • Excellent interpersonal skills with the abilities to collaborate through resolution.

  • Strong organizational skills and attention to detail capabilities are required.

  • Obtain and maintain the necessary skills to access information from various systems in order to efficiently handle inquiries and submit claim filings

  • Strong oral and written communication skills required

IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.

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