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Remote Stop Loss Insurance Jobs in Texas (NOW HIRING)

Jobot

Insurance Coverage Attorney (Remote)

Dallas, TX · Remote

$140K - $170K/yr

... insurance coverage matters. With offices across Texas and a strong remote infrastructure, the firm ... You can reply STOP to cancel and HELP for help. You can access our privacy policy here: jobot.com ...

Baylor University

Assistant Director of One Stop

Waco, TX · On-site +1

$51K - $85K/yr

This role is eligible for remote work. Applicants must be authorized to work full-time in the ... vision insurance, generous time off, tuition remission, and outstanding automatic retirement ...

CSAA

Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 ... Formulate datadriven recommendations to improve operational efficiency, loss outcomes, and business ...

DataBank

Insurance Risk Manager (Remote)

Dallas, TX · On-site +1

Analyze loss data, claims trends, and operational processes; maintain the company's risk register ... Insurance Program Management * Manage all corporate insurance programs (property, casualty ...

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All JobsStop Loss Insurance JobsRemote Stop Loss Insurance JobsRemote Stop Loss Insurance Jobs in Texas

Remote Stop Loss Insurance information

What is remote stop loss insurance?

Remote stop loss insurance is a type of coverage designed to protect self-funded employers from large or catastrophic claims, but managed and administered through digital or remote platforms. This insurance reimburses employers for claims that exceed a predetermined limit, helping them manage risk and avoid significant financial loss. The 'remote' aspect refers to the use of online tools and services for policy management, claims processing, and communication, allowing for flexible and efficient administration without the need for in-person meetings. This is particularly beneficial for companies with distributed teams or those seeking streamlined, technology-driven solutions.

What are some common challenges faced by professionals working in remote stop loss insurance roles?

One common challenge in remote stop loss insurance roles is maintaining clear and effective communication with underwriters, brokers, and clients, since much of the collaboration happens virtually. Additionally, staying updated on changing regulations and market trends requires proactive self-learning and digital resourcefulness. Managing sensitive data securely and ensuring timely turnaround on complex claims or policy analysis can also be demanding when working remotely. Building strong relationships with team members and clients, despite the lack of in-person interaction, is key to long-term success in this field.

What are the key skills and qualifications needed to thrive as a remote stop loss insurance specialist, and why are they important?

To excel as a Remote Stop Loss Insurance Specialist, you need expertise in health insurance underwriting, risk assessment, and policy analysis, often supported by a background in insurance or finance. Familiarity with industry-standard claims management systems, CRM platforms, and regulatory compliance tools is essential. Strong analytical thinking, attention to detail, and effective written communication are crucial soft skills for success in a remote environment. These abilities ensure accurate risk evaluation, regulatory adherence, and clear client interactions, which are critical for managing high-value stop loss insurance contracts.

What is the difference between Remote Stop Loss Insurance vs Remote Underwriter?

AspectRemote Stop Loss InsuranceRemote Underwriter
CredentialsInsurance licenses, actuarial knowledgeInsurance licenses, underwriting certifications
Work EnvironmentInsurance companies, brokers, remoteInsurance companies, remote or office
Industry UsageHealth and self-funded plansInsurance policy assessment and risk evaluation

Remote Stop Loss Insurance professionals focus on providing coverage for self-funded health plans, managing risk, and setting policy terms. Remote Underwriters evaluate insurance applications, assess risks, and determine policy eligibility. While both roles require insurance knowledge and licenses, Stop Loss Insurance specialists concentrate on risk management for health plans, whereas Underwriters focus on evaluating individual applications. Understanding these differences helps clarify career paths and job expectations in the insurance industry.

What are the most commonly searched types of Stop Loss Insurance jobs in Texas?

The most popular types of Stop Loss Insurance jobs in Texas are:

What are popular job titles related to Remote Stop Loss Insurance jobs in Texas?

For Remote Stop Loss Insurance jobs in Texas, the most frequently searched job titles are:

What job categories do people searching Remote Stop Loss Insurance jobs in Texas look for?

The top searched job categories for Remote Stop Loss Insurance jobs in Texas are:

What cities in Texas are hiring for Remote Stop Loss Insurance jobs?

Cities in Texas with the most Remote Stop Loss Insurance job openings:

Remote Stop Loss Insurance jobs near you

Clinical Stop Loss Nurse - Work From Home

Health Care Service Corporation

Richardson, TX • On-site, Remote

$84K - $152K/yr

Full-time

Medical, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job SummaryThis position is responsible for the review of case management notes, large claims reports and shock reporting for individuals and groups seeking stop loss insurance quotes and renewals. The position works closely with internal claim, clinical and case management teams to develop ongoing care and cost projections. The projections are then communicated to underwriting to help evaluate potential risk and associated costs.

Required Job Qualifications:

  • Bachelor's degree in nursing is preferred with current state licensure and at least 3-5 years of clinical experience
  • 2-4 years experience with Stop Loss products and clinical programs
  • Strong analytical and problem solving skills
  • Excellent organizational and time management skills, able to work independently with little supervision while handling numerous projects at once
  • Excellent written/verbal communication skills, especially the ability to communicate effectively with underwriting staff
  • Ability to complete cost projections on new and renewal business within 24-48 hours of receipt
  • Documentation with clinical summary and estimated cost of care for each individual identified as at risk
  • Must have a track record of producing work that is highly accurate, demonstrates attention to detail, and reflects well on the organization
  • Computer proficiency, specifically strong typing skills and Internet research skills, must have a clear understanding of Microsoft Word, Microsoft Office and Excel.

Preferred Job Qualifications:

  • Clinical claims review and claims auditing experience
  • Experience in managing complex or catastrophic health cases
  • Specialty clinical experience in intensive care medicine, orthopedic, NICU/pediatric, oncology, diabetic member management, obstetric (low to high risk maternity management)
  • Working toward or completion of CCM/CCP/CDE/MCG certification or Advanced degree
  • Knowledge of Milliman Guidelines or similar clinical guidelines
  • Knowledge of medical management policies and procedures

#LI-MW2

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plansubject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range$84,400.00 - $152,300.00

Exact compensation may vary based on skills, experience, and location.

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