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Medical Stop Loss Jobs (NOW HIRING)

Medical Stop Loss provides an added layer of insurance protection to employers who choose to self-fund their health benefit plans. Self-funding can incur risks from catastrophic claims, and Medical ...

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Medical Stop Loss information

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$21K

$92.6K

$178K

How much do medical stop loss jobs pay per year?

As of Aug 14, 2026, the average yearly pay for medical stop loss in the United States is $92,555.00, according to ZipRecruiter salary data. Most workers in this role earn between $84,500.00 and $84,500.00 per year, depending on experience, location, and employer.

What is medical stop loss?

Medical stop loss insurance is a type of coverage purchased by employers who self-fund their employee health benefit plans. It protects them from catastrophic or unpredictable high-cost claims by reimbursing the employer when claims exceed a certain dollar amount, known as the stop-loss limit. There are two main types: individual (specific) stop loss, which covers high claims for a single person, and aggregate stop loss, which covers total claims for the group. This insurance helps employers manage financial risk while still offering health benefits to employees.

What is the difference between Medical Stop Loss vs Medical Underwriter?

AspectMedical Stop LossMedical Underwriter
Required credentialsInsurance licenses, industry certificationsInsurance licenses, actuarial certifications
Work environmentInsurance companies, brokers, third-party administratorsInsurance companies, underwriting firms
Employer and industry usageHealth insurance, self-funded plansHealth insurance, risk assessment

Medical Stop Loss professionals focus on protecting self-funded health plans from high claims, while Medical Underwriters assess risk and determine policy terms. Both roles require insurance knowledge and industry certifications, but they serve different functions within the health insurance industry.

What are some common challenges faced by professionals working in medical stop loss, and how can they be managed?

Professionals in Medical Stop Loss often encounter challenges such as keeping up with evolving healthcare regulations, accurately assessing risk from complex claims data, and coordinating with brokers, underwriters, and healthcare providers. Managing these challenges requires staying informed through regular training, leveraging advanced analytics tools, and fostering strong communication with all stakeholders. Additionally, effective collaboration within a multidisciplinary team helps ensure thorough risk evaluation and timely decision-making.

What are the key skills and qualifications needed to thrive as a medical stop loss underwriter, and why are they important?

To thrive as a Medical Stop Loss Underwriter, you need strong analytical skills, deep knowledge of health insurance, and a background in underwriting or actuarial science, often supported by a bachelor’s degree in a related field. Proficiency with risk assessment tools, underwriting software, and data management systems is typically required. Excellent attention to detail, problem-solving abilities, and effective communication with brokers and clients help professionals stand out. These skills ensure accurate risk evaluation and policy pricing, which are critical for maintaining profitability and client satisfaction in the medical stop loss industry.
More about Medical Stop Loss jobs

What cities are hiring for Medical Stop Loss jobs?

Cities with the most Medical Stop Loss job openings:

What states have the most Medical Stop Loss jobs?

States with the most job openings for Medical Stop Loss jobs include:

What job categories do people searching Medical Stop Loss jobs look for?

The top searched job categories for Medical Stop Loss jobs are:

Infographic showing various Medical Stop Loss job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $92,555 per year, or $44.5 per hour.

Vice President Sales (Stop Loss)

Tmhcc

Kennesaw, GA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 17 days ago


Job description

Job Description Template-GeneralTokio Marine HCC (TMHCC) brings 50 years of service to the specialty insurance industry, today offering over 100 products to commercial customers in 180 countries around the world.Organic growth and over 60 successful acquisitions have grown our 2022 Gross Written Premium (GWP) to $5 Billion.Our workforce has grown to 4,300 worldwide ... big, but not so big that you cannot make a difference.Our Good Company values, including integrity, empowerment, and commitment to customer service, and a culture of innovation, communication, and collaboration make TMHCC a great place to work.TMHCC Stop Loss, a $2 Billion division within TMHCC, leads the way in providing medical stop loss insurance sold to employers. Medical Stop Loss provides an added layer of insurance protection to employers who choose to self-fund their health benefit plans. Self-funding can incur risks from catastrophic claims, and Medical Stop Loss insurance from Tokio Marine HCC is designed to protect employers from that risk.*This role can be located in AL, AR, FL, GA, LA, MS, NC, SC, TN, VA, WV*Position Summary:We are seeking an experienced industry professional with a proven ability to deliver strategic market insights, foster collaborative partnerships, and drive profitable growth. This unique role serves as a trusted advisor to our Life and Disability Carrier Partners, Vendor Partners, and internal sales teams by providing industry expertise, market analysis, and strategic recommendations that enhance decision-making and identify growth opportunities. The successful candidate will lead and manage an assigned territory, cultivating and expanding a profitable book of business while developing strong relationships across the industry. Through leadership, education, training, and collaboration, this role supports regional sales teams, strengthens partner engagement, and advances the continued growth and success of Tokio Marine HCC Stop Loss Group.Key Responsibilities:
  • Responsible for new business through outside sales and marketing to third-party administrators (TPAs)/Brokers within assigned territory.
  • Foster additional business opportunities through writing of correspondence and attending trade shows.
  • Conduct sales calls to cultivate and maintain long-term client relationships.
  • Manage and increase existing blocks of business. This requires developing a strong relationship with TPA/Broker through on-site visits and resolving client issues in a timely fashion.
  • Develop and maintain database of current and prospective producers.
  • Negotiate fees with clients to close new and renewal business.
  • Monitor competitor pricing and industry trends to identify marketplace characteristics.
  • Gather information from utilization review and managed care organizations to develop stop loss pricing.
  • Monitor producer quote ratio, close ratio, renewal persistency, and loss ratio. Adapt marketing strategy as needed.
  • Serve as liaison between Claims Department and new third-party administrator (TPA) producers during the approval process.
  • Develop and implement specific marketing strategies and materials.
  • Ensures sound working relationships with clients and other company departments by acting as the point of contact.
  • Various projects and duties as assigned by supervisor.
Education, Experience & Knowledge:
  • 4 Year / Bachelor's Degree in Business Administration, a related field, or the equivalent education and/or experience.
  • 8 years of relevant and progressive experience in Stop Loss
  • 5 years of leadership experience in Stop Loss
  • Possess and have ability to apply advanced knowledge of principles, practices, and procedures
  • Excellent written and verbal communications skills with an emphasis on confidentiality, tact, and diplomacy
  • Knowledgeable of industry changes, legal updates, and technical developments related to applicable area of the Company's business to proactively respond to changing business environment
  • Advanced proficiency and experience using Microsoft Office package (Excel, Access, PowerPoint, Word)
Tokio Marine offers a competitive salary and benefits package, including:
  • Generous paid time off (PTO), 12 paid company holidays,
  • 401(k) Retirement Plan with 6% company match.
  • Health and dental insurance, and vision plan available.
  • Company-provided long-term disability and life insurance.
  • Opportunities for advancement in a successful and growing organization.
  • Flexible work schedules and a great work/life balance.
  • Paid Parental Leave.
  • Volunteer Time Off.
  • Enjoy casual dress and work in a modern, comfortable office with free parking.
  • Hybrid work schedule
The Tokio Marine HCC Group of Companies offers a successful, dynamic organization experiencing rapid growth and are seeking energetic and confident individuals to join our team of professionals. The Tokio Marine HCC Group of Companies is an equal-opportunity employer. Please visit www.tmhcc.com for more information about our companies.#LI-CM3#stoploss1