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Stop Loss Analyst Jobs (NOW HIRING)

ESSENTIAL DUTIES AND RESPONSIBILITIES Creates reporting to analyze results from stop loss insurance placements. Supports the collection of data from multiple sources to provide credible and reliable ...

Stop Loss Analyst

Chicago, IL · On-site

$70K - $75K/yr

ESSENTIAL DUTIES AND RESPONSIBILITIES Creates reporting to analyze results from stop loss insurance placements. Supports the collection of data from multiple sources to provide credible and reliable ...

We are seeking a detail-oriented and proactive Claims Analyst to support the end-to-end processing of stop loss claims. In this role, you will assist with preparing, submitting, and tracking claims ...

Responsibilities As a Stop Loss Claims Analyst, you'll perform quality review and evaluation of all claim submissions received and logged into our claims system to determine whether the amount ...

As a Stop Loss Claims Analyst, you'll perform quality review and evaluation of all claim submissions received and logged into our claims system to determine whether the amount requested is eligible ...

Stop Loss Actuary

Portland, OR · On-site

$104K - $171K/yr

This could specifically include Stop Loss pricing, forecasting, data analysis, underwriting support, rate filings, and other projects as necessary. Cambia Actuarial and Healthcare Informatics ...

Stop Loss Actuary

Boise, ID · Hybrid

$104K - $171K/yr

This could specifically include Stop Loss pricing, forecasting, data analysis, underwriting support, rate filings, and other projects as necessary. Cambia Actuarial and Healthcare Informatics ...

Stop Loss Actuary

Renton, WA · Hybrid

$104K - $171K/yr

This could specifically include Stop Loss pricing, forecasting, data analysis, underwriting support, rate filings, and other projects as necessary. Cambia Actuarial and Healthcare Informatics ...

Stop Loss Actuary

Medford, OR · Hybrid

$104K - $171K/yr

This could specifically include Stop Loss pricing, forecasting, data analysis, underwriting support, rate filings, and other projects as necessary. Cambia Actuarial and Healthcare Informatics ...

Stop Loss Actuary

Portland, OR · Hybrid

$104K - $171K/yr

This could specifically include Stop Loss pricing, forecasting, data analysis, underwriting support, rate filings, and other projects as necessary. Cambia Actuarial and Healthcare Informatics ...

Stop Loss Actuary

Vancouver, WA · Hybrid

$104K - $171K/yr

This could specifically include Stop Loss pricing, forecasting, data analysis, underwriting support, rate filings, and other projects as necessary. Cambia Actuarial and Healthcare Informatics ...

Stop Loss Actuary

Spokane, WA · Hybrid

$104K - $171K/yr

This could specifically include Stop Loss pricing, forecasting, data analysis, underwriting support, rate filings, and other projects as necessary. Cambia Actuarial and Healthcare Informatics ...

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Stop Loss Analyst information

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$33K

$80.8K

$105.5K

How much do stop loss analyst jobs pay per year?

As of Jun 9, 2026, the average yearly pay for stop loss analyst in the United States is $80,750.00, according to ZipRecruiter salary data. Most workers in this role earn between $73,000.00 and $91,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Stop Loss Analyst, and why are they important?

To thrive as a Stop Loss Analyst, you need a strong understanding of health insurance, risk assessment, and data analysis, typically supported by a bachelor's degree in finance, business, or a related field. Proficiency with claims management systems, Excel, and actuarial software is commonly required, and certifications such as Associate of the Society of Actuaries (ASA) can be advantageous. Attention to detail, analytical thinking, and effective communication are crucial soft skills for interpreting complex data and liaising with clients or underwriters. These skills ensure accurate risk evaluation, effective claims management, and strong client relationships in the stop loss insurance sector.

What is a Stop Loss Analyst?

A Stop Loss Analyst is a professional who reviews and manages stop loss insurance policies, which are designed to protect organizations from catastrophic or unpredictable high-cost claims. They analyze claims data, evaluate risk, and ensure that claims submitted fall within the policy's terms and conditions. Their role often includes working with underwriters, brokers, and clients to resolve claims issues, ensure compliance, and help manage overall healthcare costs for employers who self-fund their health plans.

What are the typical challenges Stop Loss Analysts face when reviewing claims data and how can they address them?

Stop Loss Analysts often encounter challenges such as incomplete documentation, discrepancies in claims information, and the need to interpret complex medical or financial data. Successfully addressing these issues requires strong analytical skills, attention to detail, and effective communication with underwriters, claims adjusters, and healthcare providers. Proactively collaborating with other teams and leveraging specialized analytical tools can help streamline the process and ensure accurate risk assessment. Staying organized and maintaining up-to-date knowledge of policy changes also supports more efficient claim reviews.
More about Stop Loss Analyst jobs
What cities are hiring for Stop Loss Analyst jobs? Cities with the most Stop Loss Analyst job openings:
What states have the most Stop Loss Analyst jobs? States with the most job openings for Stop Loss Analyst jobs include:
Infographic showing various Stop Loss Analyst job openings in the United States as of May 2026, with employment types broken down into 50% Full Time, and 50% Part Time. Highlights an 50% In-person, and 50% Hybrid job distribution, with an average salary of $80,750 per year, or $38.8 per hour.

Other

Posted 25 days ago


Job description


SUMMARY

Responsible for providing overall support to the stop loss practice by working closely with other specialty practices, stop loss carriers and local account service teams.
ESSENTIAL DUTIES AND RESPONSIBILITIES 
Creates reporting to analyze results from stop loss insurance placements.
Supports the collection of data from multiple sources to provide credible and reliable performance data to both internal and external stakeholders.
Participates in vendor and stop loss carrier meetings.
Coordinates efficient work flow between local services teams and various internal systems.
Coordinates a variety of special projects such as benchmarking and book of business reporting.
Supports clinical risk consultants with projects and claims data reporting.
Negotiates with stop loss carriers to ensure most competitive rates and coverage for clients.
Complies with agency management system data standards and data integrity (enters and maintains complete and accurate information).

QUALIFICATIONS 

EDUCATION / EXPERIENCE 

Bachelor's Degree in finance, insurance, accounting, business or related field

Two (2) or more years related work experience
Significant experience with Microsoft Excel
Stop loss insurance understanding and experience a plus
SKILLS
Superior analytical skills
Good customer service skills, including telephone and listening skills
Proficiency in Microsoft Office products
Strong problem solving and time management skills
Excellent interpersonal skills
Strong verbal and written communication skills
Ability to prioritize and multi-task
Ability to work and thrive in a fast-paced, dynamic environment with frequent interruptions and a fluctuating workload
Ability to work independently and within a team environment

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