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Stop Loss Analyst Jobs in Kansas (NOW HIRING)

... are analytics, and hands-on consultative support, we empower employers and their teams to make ... What We're Looking For * 5+ years of experience in health insurance, benefits consulting, stop-loss ...

Stop-Loss Support * Partner with the Stop-Loss Coordinator and other internal teams to ensure high ... Strong analytical and problem-solving skills. * Experience developing operational controls, quality ...

Perform all tasks in a detailed manner to ensure payment accuracy, avoid losses, and compliance ... Process and resolve positive pay exceptions, stop/void requests, and related processes each day.

... analyze, evaluate and settle insurance claims involving liability issues and bodily injury losses ... t stop with our customers. We recognize our employees are what make us a premier organization in ...

Casualty Adjuster

Topeka, KS · On-site

$23.82 - $33.38/hr

... analyze, evaluate and settle insurance claims involving liability issues and bodily injury losses ... t stop with our customers. We recognize our employees are what make us a premier organization in ...

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Stop Loss Analyst information

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 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 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.

What job categories do people searching Stop Loss Analyst jobs in Kansas look for?

The top searched job categories for Stop Loss Analyst jobs in Kansas are:

What cities in Kansas are hiring for Stop Loss Analyst jobs?

Cities in Kansas with the most Stop Loss Analyst job openings:

Infographic showing various Stop Loss Analyst job openings in Kansas as of June 2026, with employment types broken down into 57% Full Time, and 43% Part Time. Highlights an 100% In-person job distribution.

Large Group Stop Loss Underwriter

Overland Park, KS • On-site

Other

Re-posted 3 days ago


Job description

Description:

Allied is looking for an experienced Medical Underwriter who has worked within large group and stop loss to join our growing team. The Large Group Medical Stop Loss Underwriter will work closely with the Head of MGU and be responsible for evaluating, pricing, and managing risk for large employer-sponsored self-funded health plans. They will also be responsible for the development, implementation, and ongoing refinement of large group capabilities, including rate manuals, underwriting guidelines, tools, processes, and related governance practices. A qualified candidate must have advanced underwriting expertise, financial analysis experience, and have demonstrated capabilities to develop competitive and profitable Stop Loss solutions for both new business and renewals. 

The Underwriter will partner closely with brokers, consultants, and other business partners to drive growth, maintain profitability, and support strategic business objectives.


Responsibilities Include:

Risk Assessment & Underwriting

  • Evaluate large group employer benefit plans and assess risk from a Stop Loss perspective, including Specific and Aggregate coverages
  • Analyze claims experience, large claimant details, utilization patterns, and plan design to determine risk exposure
  • Perform medical and financial analysis of ongoing high-cost claims and emerging risks.

Pricing & Financial Analysis

  • Develop and justify pricing using underwriting tools, actuarial models, and independent judgment.
  • Determine rate levels, aggregate factors, and cost-of-risk assumptions. 
  • Issue final rates and maintain accountability for all pricing decisions.

New Business & Renewals

  • Drive new business production while maintaining underwriting discipline and profitability targets
  • Manage a portfolio of assigned accounts with responsibility for: 
    • Renewal rate development
    • Persistency and retention
    • Loss ratio performance

Portfolio Management & Profitability

  • Own profitability and performance of assigned block of business. 
  • Monitor key metrics such as loss ratios, close ratios, and renewal increases. 
  • Identify adverse trends and take proactive corrective action.
  • Ensure adherence to underwriting guidelines, authority levels, and regulatory standards. 
  • Coordinate cross-functionally to support stop loss policy issue, premium collection and claim approvals.  
Requirements:
  • Must have a Bachelor's degree or equivalent work experience
  • Must have 6+ years of medical stop loss underwriting experience, large group focus is preferred
  • Demonstrated experience managing complex cases, high-risk groups, and both new business production and renewal underwriting is required
  • Needs an understanding of top loss market dynamics and emerging risk trends
  • Will act as a subject matter expert and mentor for Underwriting Staff, providing training and guidance on large group risk assessment, pricing methodology, and emerging claim trends

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