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Remote Stop Loss Insurance Jobs (NOW HIRING)

Allied

Stop Loss Claims Specialist I-Specific

Chicago, IL · On-site +1

$23 - $24/hr

Remote Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly ... Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend. Allied ...

Captive Resources

Underwriter

Itasca, IL · On-site +1

The Underwriter is responsible for evaluating and underwriting stop-loss insurance. The role involves analyzing medical risk, pricing policies, and making recommendations based on a thorough ...

Allied

Stop Loss Claims Specialist I-Aggregate

Chicago, IL · On-site +1

$23 - $24/hr

Remote Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly ... Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend. Allied ...

Berkley

Stop Loss Claims Auditor

San Antonio, TX · Remote

$70K - $80K/yr

... casualty insurers in the United States. #LI-AV1 #LI-Remote The company is an equal employment ... Responsibilities As a Stop Loss Claims Auditor (a.k.a. "Claims Analyst") , you'll perform quality ...

Berkley

Stop Loss Claims Analyst

Indianapolis, IN · Remote

$70K - $90K/yr

... casualty insurers in the United States. #LI-AV1 #LI-Remote The company is an equal employment ... Responsibilities As a Stop Loss Claims Analyst (aka Auditor), you\'ll perform quality review and ...

Berkley

Stop Loss Claims Analyst

Indianapolis, IN · Remote

$70K - $90K/yr

... casualty insurers in the United States. #LI-AV1 #LI-Remote The company is an equal employment ... Responsibilities As a Stop Loss Claims Analyst (aka Auditor), you'll perform quality review and ...

Berkley

Stop Loss Claims Auditor

San Antonio, TX · Remote

$70K - $80K/yr

... casualty insurers in the United States. #LI-AV1 #LI-Remote The company is an equal employment ... As a Stop Loss Claims Auditor (a.k.a. "Claims Analyst") , you'll perform quality review and ...

Berkley

Stop Loss Claims Analyst

Indianapolis, IN · Remote

$70K - $90K/yr

... casualty insurers in the United States. #LI-AV1 #LI-Remote The company is an equal employment ... As a Stop Loss Claims Analyst (aka Auditor), you'll perform quality review and evaluation of all ...

NFP Corp

Senior Consultant, Stop Loss

NY · Remote

$77K - $132K/yr

NFP, an Aon company, is a multiple Best Places to Work award winner in Business Insurance. We are ... The Senior Stop Loss Consultant is a subject-matter expert responsible for leading complex stop ...

Allied

Stop Loss Revenue Associate

Chicago, IL · On-site +1

$20 - $23/hr

Remote Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly ... Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend. Allied ...

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Remote Stop Loss Insurance information

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$15

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$62

How much do remote stop loss insurance jobs pay per hour?

As of Jul 11, 2026, the average hourly pay for remote stop loss insurance in the United States is $31.42, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $47.36 per hour, depending on experience, location, and employer.

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 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 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 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.
More about Remote Stop Loss Insurance jobs
What cities are hiring for Remote Stop Loss Insurance jobs? Cities with the most Remote Stop Loss Insurance job openings:
What are the most commonly searched types of Stop Loss Insurance jobs? The most popular types of Stop Loss Insurance jobs are:
What states have the most Remote Stop Loss Insurance jobs? States with the most job openings for Remote Stop Loss Insurance jobs include:
What job categories do people searching Remote Stop Loss Insurance jobs look for? The top searched job categories for Remote Stop Loss Insurance jobs are:
Remote Stop Loss Insurance jobs near you
Infographic showing various Remote Stop Loss Insurance job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 72% Full Time, 22% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $65,353 per year, or $31.4 per hour.
Stop Loss Claims Specialist II-Specific

Stop Loss Claims Specialist II-Specific

Allied Benefit Systems

Chicago, IL • Remote

$24 - $26/hr

Full-time

Medical, Dental, Vision, Life, PTO

Re-posted 2 days ago

Allied Benefit Systems rating

8.1

Company rating: 8.1 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

90th of 449 rated business services

Job description

POSITION SUMMARY

The Stop Loss Claim Specialist II (Specific) is responsible for preparing and filing medical stop loss claims for reimbursement with stop loss carriers for individual stop loss (Specific)coverage. Additional duties include following up with the various carriers to ensure reimbursements are received timely and in full. Further responsibilities include the appeals of denied and reduced claim reimbursements, along with retaining the appropriate documentation needed to support the reimbursement request. The Stop Loss Claim Specialist II will be responsible for training team members. In addition, duties will include maintaining a relationship with priority carriers.

ESSENTIAL FUNCTIONS

  • Compile and submit claim reports and the necessary documentation to file a stop loss claim.
  • Monitor the status of claims assigned and follow up with stop loss carriers.
  • Answer questions and requests from stop loss carriers for additional information.
  • Communicate with other internal departments to resolve claim issues.
  • Appeal the denials or reduction of reimbursements by the stop loss carrier.
  • Filing Stop Loss Claims with priority carriers.
  • Coordinating with other Stop Loss Team Members regarding priority claims.
  • Filing high dollar claims.
  • Retain necessary documents required by carriers from providers.
  • Training team members regarding departmental process and workflows.
  • Other duties as assigned.

EDUCATION

  • High School Diploma or GED required.
  • College degree preferred.

EXPERIENCE AND SKILLS

  • Minimum 2 years of stop loss claim filing experience, required.
  • Medical claims experience required.
  • Accounting or Finance background a plus.
  • Proficient with Microsoft Office Suite or related software.
  • Strong analytical and problem solving skills.
  • Excellent verbal and written communication skills.
  • Excellent organizational skills and attention to detail.
  • Excellent time management skills with a proven ability to meet deadlines.

POSITION COMPETENCIES

  • Accountability
  • Communication
  • Customer Service Orientation
  • Functional/Technical Skills
  • Quality Focus
  • Time and Task Management

PHYSICAL DEMANDS

  • This is a standard desk role requiring extended sitting and computer work.

WORK ENVIRONMENT

  • Remote

Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.

Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.

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