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Stop Loss Analyst Jobs in Raleigh, NC (NOW HIRING)

Provides estimated cost analysis of automotive repairs and routine maintenance. * Provide in-depth ... We will never stop striving for improved diversity, equity, and inclusion because we are successful ...

Our team, does their best work each day, creating a one-stop resource for all commercial insurance ... Utilize data and analytics to identify portfolio trends, performance drivers, and opportunities to ...

... one stop for all life events. Analyzing & Decision Making * Respond promptly to all customer ... Follow all loss prevention, security processes and policies. Developing Self & Others * Focus on ...

... one stop for all life events. Analyzing & Decision Making * Respond promptly to all customer ... Follow all loss prevention, security processes and policies. Developing Self & Others * Focus on ...

Part Time Bridal Sales

Raleigh, NC · On-site

$12 - $17.04/hr

... one stop for all life events. Analyzing & Decision Making * Respond promptly to all customer ... Follow all loss prevention, security processes and policies. Developing Self & Others * Focus on ...

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Stop Loss Analyst information

See Raleigh, NC salary details

$32.1K

$78.5K

$102.6K

How much do stop loss analyst jobs pay per year?

As of Aug 22, 2026, the average yearly pay for stop loss analyst in Raleigh, NC is $78,496.00, according to ZipRecruiter salary data. Most workers in this role earn between $71,000.00 and $88,500.00 per year, depending on experience, location, and employer.

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 cities near Raleigh, NC are hiring for Stop Loss Analyst jobs?

Cities near Raleigh, NC with the most Stop Loss Analyst job openings:

Commercial Refrigeration Technician Serving Food Lion Brand Stores

Ahold Delhaize USA

Chapel Hill, NC • On-site

$21.25 - $29.25/hr

Full-time

Posted 4 days ago


Ahold Delhaize USA rating

6.0

Company rating: 6.0 out of 10

Based on 45 frontline employees who took The Breakroom Quiz

61st of 123 rated grocery stores


Job description

IntroductionAhold Delhaize USA, a division of global food retailer Ahold Delhaize, is part of the U.S. family of brands, which also includes five leading omnichannel grocery brands – Food Lion, Giant Food, The GIANT Company, Hannaford and Stop & Shop. Ahold Delhaize USA associates support the brands with a wide range of services, including Finance, Legal, Sustainability, Commercial, Digital and E-commerce, Technology and more.

OverviewResponsible for providing preventive maintenance, troubleshooting and repairs on assigned stores' HVAC, ice machines and refrigeration systems for assigned stores. This position will complete assigned work orders, including data entry in maintenance service tracking system (Service Channel), and respond to afterhours calls. Individual will be accountable for Refrigeration/HVAC spend for assigned stores by minimizing equipment failures, refrigerant loss, and maintaining department system set points to optimize energy efficiency.

Responsibilities

  • Perform and/or oversee the day-to-day efficient operation, maintenance, and repair needs of assigned stores, include but not limited to HVAC, electrical, lighting, energy management, and hardware.
  • Plan and/or generate work to be performed and obtain necessary tools, equipment, and materials to complete assignments and work order system entries in a timely manner and in accordance with EPA Regulations.
  • Inspect and evaluate all areas of assigned stores, offering suggestions for improvements; taking proper corrective action when necessitated (troubleshooting and repair of refrigeration systems, ice machines, air conditioning, heating, and related systems as appropriate, etc.).
  • Act as a trusted advisor to recommend repairs and upgrades to assigned store managers and maintenance supervisors.
  • Ensure adherence to safety guidelines, including practicing safe work habits, utilizing appropriate safety equipment, and reporting unsafe conditions.
  • Coordinate and/or conduct the day-to-day organization, and completion of preventive maintenance.
  • Effectively communicate to the appropriate stakeholders the status of building operations and conditions; promptly reporting any potential or ongoing problems.
  • Update Control set-points for refrigeration systems and EMS controls.
  • Responsible for electrical control wiring and troubleshooting of controls.
  • Analyze mechanical operation of refrigeration and HVAC units for proper operation.
  • Assist Supervisor in facilitating timely and cost-effective repairs of electrical, and building components and systems including doors, door frames, gaskets, latches, and closures on refrigerated cases.
  • Accountable for Refrigeration/HVAC spend for assigned stores including repairs to equipment, refrigerant leak rate, and providing the most economical method to repair and maintain equipment.
  • Additional job duties may be assigned as needed to meet the needs of the business and support our Values.
  • Respond to work order requests and after-hours emergency calls (including on nights and weekends).

Requirements

  • High School diploma or equivalent.
  • Valid driver's license.
  • EPA Certification (Universal).
  • State Licensures, if required.
  • 3+ years' experience in a related field.
  • Ability to work independently with limited supervision.
  • Ability to communicate, interact and work effectively and cooperatively with people.
  • Ability to multi-task.
  • Excellent troubleshooting skills.
  • Ability to climb ladders for service above ceilings and roof access to equipment.
  • Ability to lift/carry 50 lbs. and lift/move 100 lbs. (with assistance).
  • Ability to answer after-hours/weekend emergency service calls.
  • Excellent computer skills.
  • Excellent communication skills both verbal and written.
  • Ability to travel daily, throughout assigned region, in company provided work vehicle.

Actual compensation offered to a candidate may vary based on their unique qualifications and experience, internal equity, and market conditions. Final compensation decisions will be made in accordance with company policies and applicable laws.


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