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Stop Loss Analyst Jobs (NOW HIRING)

A Stop-Loss Claims Manager oversees the administration, data collection, submission, and resolution ... Analyze large-dollar claims for potential coverage issues, exclusions, and reimbursement ...

Stop Loss Claims Manager

Atlanta, GA · On-site

$52K - $55K/yr

A Stop-Loss Claims Manager oversees the administration, data collection, submission, and resolution ... Analyze large-dollar claims for potential coverage issues, exclusions, and reimbursement ...

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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.
Stop Loss Underwriter Remote

Full-time

Posted 18 days ago


Job description

Seeking a REMOTE Stop Loss Underwriter to provide self-funded solutions to brokers nationwide by evaluating risk, pricing cases, and delivering competitive coverage to employer groups. This remote opportunity involves managing case workload, supporting broker relationships, and contributing to our growing company's success. We're looking for a professional with strong analytical skills, confident decision-making abilities, and a passion for stop loss underwriting.

You'll work independently while collaborating with our close-knit team to provide exceptional service to our distribution partners. Responsibilities:• Underwrite and price specific and aggregate stop loss coverage for self-funded employer groups• Analyze medical claims data, census information, demographics, and plan design to determine appropriate risk levels• Manage assigned case workload to meet productivity and service standards• Build and maintain strong broker/agent relationships through responsive communication and competitive solutions• Formulate successful underwriting strategies that balance profitability with market competitiveness• Make independent underwriting decisions within established guidelines and authority limits• Collaborate with internal staff to support new and renewal stop loss business• Review renewal business and provide strategic recommendations for retention• Stay current on industry trends, medical cost drivers, and regional market conditions• Contribute to underwriting process improvements and best practices Qualifications:• 5+ years of stop loss underwriting experience (Carrier, MGU/MGA, TPA, etc.)• Strong analytical skills with ability to assess medical risk and financial data• Proficiency in Microsoft Excel and underwriting systems• Excellent written and verbal communication skills• Ability to work independently in a remote environment with minimal supervision• Detail-oriented with strong organizational and time management skills• Knowledge of self-funded health plans and stop loss insurance principles About Us: We are a specialty insurance company focused on providing innovative stop loss solutions to self-funded employer groups across the United States. Our team of experienced professionals delivers best-in-class products and exceptional service to our broker partners and clients.

As a growing organization, we offer the opportunity to make a meaningful impact while working in a supportive, collaborative environment. Salary: $map.get("vacancy_salary-text"). Date posted: 05/22/2026