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Stop Loss Analyst Jobs (NOW HIRING)

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.

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.

Ourhrconnect

Senior Stop Loss Claims Auditor

Columbia, SC · Remote

$72K - $94K/yr

Analyze and adjudicate stop loss claims and request appropriate reimbursement from carrier. Recognize cost mitigation opportunities. Authorize and release stop loss claims reimbursement checks at or ...

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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 25, 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 July 2026, with employment types broken down into 82% Full Time, and 18% Part Time. Highlights an 75% In-person, and 25% Remote job distribution, with an average salary of $80,750 per year, or $38.8 per hour.
Stop Loss Claims Specialist I-Specific

Stop Loss Claims Specialist I-Specific

Allied

Chicago, IL • On-site, Remote

$23 - $24/hr

Full-time

Medical, Dental, Vision, Life, PTO

Posted 25 days ago

Job description

POSITION SUMMARY
The Stop Loss Claim Specialist is responsible for preparing and filing medical stop loss claims for reimbursement with stop loss carriers for individual stop loss (specific) coverage. Additional duties include following up with the various carriers to ensure reimbursements are received in time and in full. Further responsibilities include the appeals of denied and reduced claim reimbursements, along with retaining the appropriate documentation needed to support the reimbursement request.
ESSENTIAL FUNCTIONS
  • Compile and submit claim reports and the necessary documentation to file a stop loss claim.
  • Frequently monitor the status of claims assigned and follow up with stop loss carriers.
  • Strong ability to answer questions and requests from stop loss carriers for additional information promptly and with thorough information in support of claim reimbursement.
  • Communicate with other internal departments to resolve claim issues.
  • Prepare both the initial, subsequent, and year end claim filings upon reconciliation of the claim activity.
  • Ability to manage time to file advanced funding, high dollar and renewal claim submissions per contract stipulations and department metrics.
  • Appeal the denials or reduction of reimbursements by the stop loss carrier.
  • Understand stop loss policy provisions, as well as group plan documentation in support of claim reimbursements.
  • Ability to adapt to new concepts and systems.
  • Other duties as assigned.

EDUCATION
  • High School diploma or equivalent required.
  • Some college or equivalent work experience preferred.

EXPERIENCE AND SKILLS
  • 1 to 2 years of claims experience in a self funded environment
  • Have a thorough knowledge of Stop Loss terminologies, concepts, and catastrophic claim handling
  • Ability to interpret Stop Loss contracts and Client summary Plan Descriptions (SPD).
  • Stop loss filing experience preferred
  • Accounting or Finance background a plus.
  • Proficient with Microsoft Office Suite, specifically with Microsoft Excel.
  • Strong analytical and problem solving skills.
  • Excellent verbal and written communication skills.
  • Demonstrated elevated level of organizational skills and superior attention to detail.
  • Excellent time management skills with a proven ability to meet deadlines.
  • Demonstrated ability in developing and maintaining positive relationships with team members, internal departments, various brokers, reinsurance carriers, and clients.

POSITION COMPETENCIES
  • Accountability
  • Communication
  • Customer Service Orientation
  • Functional/Technical Skills
  • Quality Focus
  • Time and Task Management

PHYSICAL DEMANDS
  • This is a standard desk role requiring extended sitting and computer work.

WORK ENVIRONMENT
  • Remote

Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.
The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.
Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.

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