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Stop Loss Coordinator Jobs (NOW HIRING)

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Stop Loss Coordinator

Jacksonville, FL · On-site

$16.75 - $21.75/hr

Logistics : Stop Loss | International Specialty Underwriters, Inc. one of BlueCross ... Coordinates communication of information between reinsurance companies and various internal and ...

Marpai Administrators LLC

Stoploss Coordinator

Atlanta, GA · Remote

$50K - $80K/yr

The Stoploss Coordinator works with the Stop Loss/Excess of Loss community and IT to investigate issues and resolve problems. The Stoploss Coordinator works directly with Stop Loss Carriers and MGUs ...

Marpai Administrators LLC

Stoploss Coordinator

Tampa, FL · Remote

$50K - $80K/yr

The Stoploss Coordinator works with the Stop Loss/Excess of Loss community and IT to investigate issues and resolve problems. The Stoploss Coordinator works directly with Stop Loss Carriers and MGUs ...

Crum & Forster

VP, C&F Stop Loss

Eatontown, NJ · On-site +1

Other responsibilities include recommending strategies and objectives for region(s) and coordinating accounts and projects with C&F Stop Loss and other shared services colleagues. The Vice President ...

Marpai Administrators LLC

Stoploss Coordinator

Cary, NC · Remote

$50K - $80K/yr

The Stoploss Coordinator works with the Stop Loss/Excess of Loss community and IT to investigate issues and resolve problems. The Stoploss Coordinator works directly with Stop Loss Carriers and MGUs ...

Crum & Forster

VP, C&F Stop Loss

Eatontown, NJ · On-site

Other responsibilities include recommending strategies and objectives for region(s) and coordinating accounts and projects with C&F Stop Loss and other shared services colleagues. The Vice President ...

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Stop Loss Coordinator information

See salary details

$27K

$57.9K

$101.5K

How much do stop loss coordinator jobs pay per year?

As of Aug 4, 2026, the average yearly pay for stop loss coordinator in the United States is $57,869.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,500.00 and $69,500.00 per year, depending on experience, location, and employer.

What is a stop loss coordinator?

Stop Loss Coordinators are professionals who manage and oversee stop-loss insurance policies, primarily within health insurance and employee benefit plans. Their main responsibilities include processing claims, ensuring compliance with policy provisions, and serving as a liaison between insurance carriers, third-party administrators, and clients. They review high-cost medical claims, verify eligibility, and help organizations mitigate large financial risks associated with catastrophic health claims. Effective communication, attention to detail, and strong organizational skills are essential for this role.

What is the difference between Stop Loss Coordinator vs Claims Analyst?

AspectStop Loss CoordinatorClaims Analyst
Required credentialsInsurance certifications, knowledge of stop loss policiesInsurance or healthcare certifications, data analysis skills
Work environmentInsurance companies, third-party administratorsHealthcare providers, insurance companies
Employer and industry usagePrimarily in stop loss insurance and self-funded plansIn healthcare claims processing and insurance claims management

The main difference is that a Stop Loss Coordinator focuses on managing stop loss insurance policies and ensuring coverage limits are maintained, while a Claims Analyst handles processing and analyzing insurance claims. Both roles require insurance knowledge, but the Coordinator specializes in stop loss policies, whereas the Claims Analyst works more broadly with claims data and reimbursement processes.

What are the key skills and qualifications needed to thrive as a stop loss coordinator?

To thrive as a Stop Loss Coordinator, you need a solid understanding of insurance processes, claims management, and healthcare terminology, usually supported by experience in health insurance or a related field. Familiarity with stop loss administration software, claims processing systems, and proficiency in Microsoft Office are typically required. Strong attention to detail, analytical thinking, and effective communication are essential soft skills for coordinating between clients, carriers, and internal teams. These skills ensure accurate processing of claims, compliance with regulatory requirements, and effective collaboration, which are critical for minimizing financial risk and ensuring client satisfaction.

What are some common challenges stop loss coordinators face when managing policy renewals and claims?

Stop Loss Coordinators often encounter challenges in coordinating timely policy renewals and accurately processing claims, especially when handling large volumes of data and strict deadlines. They must stay current on evolving regulations and ensure all documentation is complete and compliant to avoid delays or errors. Close collaboration with underwriters, brokers, and third-party administrators is essential, which can add complexity to communication and workflow management. Strong organizational skills and attention to detail are key to overcoming these challenges and ensuring smooth operations.
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What are the most commonly searched types of Stop Loss jobs? The most popular types of Stop Loss jobs are:
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Stop Loss Coordinator jobs near you
Infographic showing various Stop Loss Coordinator job openings in the United States as of July 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 85% In-person, and 15% Remote job distribution, with an average salary of $57,869 per year, or $27.8 per hour.

Stop Loss Coordinator

Cobalt Benefits Group LLC

Exeter, NH • On-site

$25 - $27/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

Job description

Description:

Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Stop Loss Coordinator, you’ll play an important role in helping us offer customized, self-funded insurance options to our clients and members.


In this dynamic role, you will oversee the stop-loss insurance process, manage claims, coordinate with vendors, and ensure compliance with industry regulations. Your analytical mindset and industry knowledge will directly contribute to our clients' success and satisfaction.


Key Responsibilities

  • Track & Report: Identify and report members who meet 50% or more of the specific deductible to our excess loss vendor.
  • Data Management: Collect and submit all required documentation to request reimbursement for claims that exceed the specific deductible.
  • Claim Processing: Review daily funding requests, track paid claims, and manage eligible claims submissions for stop-loss and advanced funding requests.
  • Communication & Coordination: Act as the liaison between the excess loss vendor and internal teams, providing necessary data and responding to vendor inquiries.
  • Audit & Reporting: Assist with monthly and year-end aggregate claim submissions, and support internal audits by providing necessary information.

What You'll Need to Succeed

  • Analytical Mindset: Strong mathematical skills are essential for tracking claims and preparing reimbursement requests.
  • Attention to Detail: You'll be responsible for managing high-cost claims, so accuracy is key.
  • Highly Organized: Able to manage multiple tasks efficiently in a fast-paced environment.
  • Team Player: Ability to work collaboratively across multiple departments and communicate effectively.
  • Industry Knowledge: A background in accounting, medical billing, or banking is helpful, as well as familiarity with medical terminology. Experience with third-party administrators (TPAs) or health insurance carriers is strongly preferred.
Requirements:


  • Education & Experience: Associate’s Degree or 2+ years of relevant work experience.
  • Proficiency in MS Office: Solid experience with Microsoft Word, Excel, and Outlook.
  • Industry Experience: Javelina claims processing, stop-loss insurance, and medical terminology.
  • Retiree/Direct Billing programs, and premium collection services, as well as providing customized benefit solutions to businesses nationwide.

Benefits

  • Fantastic medical, dental, and vision insurance*
  • Twice annual employer HSA contributions, covering 50% of the HDHP plan’s annual deductible!
  • Company-provided Basic Life and AD&D
  • Company-paid Short-Term and Long-Term Disability**
  • Flexible Spending Accounts*
  • 401(k) Retirement Plan with up to a 6% employer match** (100% fully vested after 3 years)
  • 10+ paid holidays
  • Generous paid vacation and sick time
  • Annual Volunteer Paid Day
  • Annual Tuition Reimbursement
  • Annual Health and Wellness Reimbursement
  • Lots of fun company events
  • *60-day waiting period **90-day waiting period

Who We Are


As a trusted Third-Party Administrator (TPA) specializing in self-funded benefit plans, Cobalt Benefits Group (CBG) is committed to helping employers find high-quality coverage at a cost they can afford. We administer self-funded insurance benefits through our three companies: EBPA, Blue Benefit Administrators of Massachusetts, and CBA Blue.With over 30 years of experience and a dedicated team of more than 200 employees, we work collaboratively to build customized self-funded health plans, manage claim payments and disputes, and administer other specialized programs such as FSAs, HSAs, COBRA, and retiree billing. Join us as we match employers across our region with the right solutions for their employee benefit needs. To learn more about working at CBG, visit www.cobaltbenefitsgroup.com/careers.

Cobalt Benefits Group is an Equal Employment Opportunity Employer


Cobalt Benefits Group participates in E-Verify to confirm the employment eligibility of all new hires.