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Stop Loss Analyst Jobs (NOW HIRING)

Berkley

Stop Loss Claims Auditor

San Antonio, TX · Remote

$70K - $80K/yr

With our entrepreneurial culture and a strong emphasis on analytics, we can help employers better manage their risk. We offer a broad range of products, including employer stop loss, benefit captives ...

Berkley

Stop Loss Claims Auditor

San Antonio, TX · Remote

$70K - $80K/yr

With our entrepreneurial culture and a strong emphasis on analytics, we can help employers better manage their risk. We offer a broad range of products, including employer stop loss, benefit captives ...

Allied

Stop Loss Claims Specialist I-Specific

Chicago, IL · On-site +1

$23 - $24/hr

POSITION SUMMARY The Stop Loss Claim Specialist is responsible for preparing and filing medical ... Strong analytical and problem solving skills. * Excellent verbal and written communication skills.

Jencap

Senior Underwriter - Medical Stop Loss

Danvers, MA · On-site +1

$104K - $123K/yr

Analyze complex self‑funded employer group data, including claims experience, demographics, plan design, and funding structures * Partner closely with the Chief Underwriting Officer to develop ...

Jencap

Senior Underwriter - Medical Stop Loss

Avon, CT · On-site

$96K - $114K/yr

Analyze complex self-funded employer group data, including claims experience, demographics, plan ... Strong knowledge of stop loss insurance products, market dynamics, and regulatory requirements

Allied

Stop Loss Revenue Associate

Chicago, IL · On-site +1

$20 - $23/hr

Collaborate closely with Revenue Analysts to assist in the review and preparation of Allied-placed stop loss quotes for new business and renewal prospects. * Compile and package key analytical ...

Allied

Stop Loss Claims Specialist I-Aggregate

Chicago, IL · On-site +1

$23 - $24/hr

POSITION SUMMARY The Stop Loss Claim Specialist is responsible for preparing and filing medical ... Strong analytical and problem solving skills. * Excellent verbal and written communication skills.

Point C

Stop Loss Sales Support Specialist

$50K - $60K/yr

If you're proactive, analytical, and thrive in a collaborative environment, this is a great ... Qualifications: • Experience in stop loss, employee benefits, or healthcare industry preferred ...

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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 Jul 2, 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 jobs pay $500,000 a year in the US?

High-paying roles such as senior investment bankers, top executives, specialized surgeons, and certain law firm partners can earn $500,000 or more annually. In the context of a Stop Loss Analyst, such compensation levels are uncommon unless combined with seniority, bonuses, or profit-sharing in large financial institutions or insurance companies. Typically, these roles require extensive experience, advanced certifications, and leadership responsibilities.

What jobs pay 4000 a week without a degree?

A Stop Loss Analyst typically earns less than $4,000 weekly, but some high-paying roles like sales managers, real estate brokers, or certain skilled trades can reach or exceed that amount without requiring a degree. These jobs often rely on experience, certifications, or commissions rather than formal education. Success in such roles depends on skills, performance, and industry demand.

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 does a stop loss analyst do?

A stop loss analyst evaluates insurance policies and financial data to determine appropriate stop loss coverage levels, helping organizations manage risk and prevent large financial losses. They analyze claims data, assess policy terms, and use specialized software to recommend coverage adjustments. Strong analytical skills and knowledge of insurance regulations are essential for this role.

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.

What jobs in the US pay 300,000 a year?

For a Stop Loss Analyst, earning $300,000 annually typically requires extensive experience, advanced certifications, and working in senior or specialized roles within insurance, finance, or risk management sectors. High compensation is often associated with leadership positions, complex analysis, or roles in large organizations with performance-based bonuses. Such salaries are less common at entry or mid-level positions in this field.
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Stop Loss Analyst jobs near you
Infographic showing various Stop Loss Analyst job openings in the United States as of June 2026, with employment types broken down into 50% Full Time, and 50% Part Time. Highlights an 100% In-person job distribution, with an average salary of $80,750 per year, or $38.8 per hour.
Stop Loss Claims Auditor

Stop Loss Claims Auditor

Berkley

San Antonio, TX • Remote

$70K - $80K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 26 days ago

Job description

Company Details

Berkley Accident and Health is a risk management company that designs innovative solutions to address the unique challenges of each client. With our entrepreneurial culture and a strong emphasis on analytics, we can help employers better manage their risk. We offer a broad range of products, including employer stop loss, benefit captives, provider stop loss, HMO reinsurance, and specialty accident. The key to Berkley's success is our nimble approach to risk - our ability to quickly understand, think through, and devise a plan that addresses each client's challenges, coupled with the strong backing of a Fortune 500 company. Our parent company, W. R. Berkley Corporation, is one of the largest and best managed property/casualty insurers in the United States.

#LI-AV1  #LI-Remote

The company is an equal employment opportunity employer.

Responsibilities

As a Stop Loss Claims Auditor (a.k.a. "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 for reimbursement.

This position can either be fully remote (if not within commutable distance to the office) or based in one of our offices:

  • Hamilton Square, NJ
  • West Hartford, CT
  • Marlborough, MA
  • Harleysville, PA

We offer hybrid work schedule with 4 days in the office; and 1 day remote where it makes sense to do so.

What you can expect:

  • Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talent
  • Internal mobility opportunities 
  • Visibility to senior leaders and partnership with cross functional teams
  • Opportunity to impact change
  • Benefits - competitive compensation, paid time off, comprehensive wellness benefits and programs, employer funded health savings account, profit sharing, 401k, paid parental leave, employee stock purchase plan, tuition assistance and professional continuing education

We'll count on you to: 

  • Process an average of 5 to 7 claims per day
  • Maintain a processing accuracy of 99% or better
  • Determine, on a timely basis, the eligibility of assigned claim by applying the appropriate contractual provisions to the medical facts and specifications of the claim
  • Review and adjudicate claims within approved authority limits
  • Maintain assigned claim block and assist other team members while meeting departmental guidelines
  • Document rationale of claim decisions based on review of the contractual provisions, plan specifications and the analysis of medical records, etc.
  • Elevate issues to next level of supervision, as appropriate
  • Other duties as assigned
Qualifications

What you need to have:

  • 3-5+ years stop loss claims experience
  • Prior experience handling first dollar payer insurance (medical healthcare claims)
  • Experience with medical billing practices, CPT codes, revenue codes, and/or universal billing
  • Ability to use mathematics to adjudicate claims
  • Detail oriented with a high degree of accuracy and ability to multitask
  • Strong problem solving, decision-making, reporting and analytical skills
  • Must possess good judgment and work effectively with internal business areas, peers and co-workers
  • Demonstrated proficiency in Microsoft Office software 

What makes you stand out:

  • Prior experience handling stop loss claims at the reinsurance level (medical healthcare claims)
  • Ability to work independently, prioritize, organize and assign own work to meet deadlines
  • Ability to accept changing priorities with a minimum of disruption
Additional Company DetailsWe do not accept any unsolicited resumes from external recruiting firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees including: Base Salary Range: $70,000 - $80,000 Benefits include: Health, dental, vision, dental, life, disability, wellness, paid time off, 401(k) and generous profit-sharing plan The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.Sponsorship DetailsSponsorship not Offered for this RoleEmployment Type: OTHER

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