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Stop Loss Coordinator Jobs (NOW HIRING)

The Specific Stop Loss Data Analyst leads data coordination initiatives for primary clients who have stop loss policies outside PBM or other administrators. Your Impact * Identify specific stop loss ...

The Specific Stop Loss Data Analyst leads data coordination initiatives for primary clients who have stop loss policies outside PBM or other administrators. Your Impact * Identify specific stop loss ...

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 ...

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 ...

VP, C&F Stop Loss

Eatontown, NJ · On-site

$138.70 - $260.80/hr

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 ...

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 24, 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 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.

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 cities are hiring for Stop Loss Coordinator jobs?

Cities with the most Stop Loss Coordinator job openings:

What are the most commonly searched types of Stop Loss jobs?

The most popular types of Stop Loss jobs are:

What states have the most Stop Loss Coordinator jobs?

States with the most job openings for Stop Loss Coordinator jobs include:

Infographic showing various Stop Loss Coordinator job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, 1% Temporary, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $57,869 per year, or $27.8 per hour.

Full-time

Medical, Life, Retirement, PTO

Posted 5 days ago


Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job Summary
This position is responsible for providing overall strategic leadership over the performance, management and development of enhancements to Stop Loss; assuming role of Product Strategist for Stop Loss, ensuring Stop Loss meets company profitability and operational requirements, supporting Sales and Account Management in achieving stop loss targets, managing performance of Stop Loss with input from other stakeholders, coordinating all Stop Loss activities across corporate areas to ensure performance meets targets and development and implementation initiatives meet assigned deadlines. This person is also responsible for developing, in collaboration with others, the vision and future roadmap for all stop loss related product activities including defining business requirements, leading product development, implementing and sustaining the strategic product roadmap, competitive positioning and product design for both existing and next-generation product offerings.
Job Responsibilities:
  • Develop, in collaboration with others, the long-term stop loss product vision and strategic direction
  • Develops and manages the stop loss product roadmap and prioritization process
  • Develops and implements strategies that significantly increase product revenue
  • Responsible for deploying strategies to improve customer acquisition, engagement, and retention
  • Serves as Product Owner for Stop Loss Product
  • Partners and engages with IT and Operations for end-to-end success
  • Leverages data to influence and shape product design decisions
  • Operates with a high level of autonomy to drive results
  • Partners with Marketing Teams on Go to Market plan for Stop Loss Product
  • Assess strategic partnerships and opportunities that advance the priorities of the stop loss product
  • Responsible for achieving strong ROI in applicable markets.

Required Job Qualifications:
  • Bachelor's Degree in business or Health Administration AND 10 years' experience in health care, health insurance, or strategic consulting environment OR 14 years' experience in health care, health insurance, or strategic consulting environment
  • 5 years management experience.
  • 5 years of stop loss related experience
  • Enterprise-wide project coordination, project management, facilitation, presentation, and leadership experience.
  • Knowledge of field sales operations and business strategies in the insurance industry.
  • Experience leading and mentoring staff.
  • Clear and concise verbal and written communication skills.
  • Experience interacting successfully with senior management and staff across multiple departments.
  • Organizational skills, including ability to prioritize tasks.
  • Creativity and innovation, risk analysis, analytical rigor, and implementation expertise.
  • Business acumen and project/process integration skills.
  • Overseeing the annual budget and allocating resources for various projects and operational needs.
  • Translating needs and initiatives into compelling business cases.
  • Conducting cost-benefit analyses to justify investments and ensure ROI.

Preferred Job Qualifications:
  • Proven track record of managing complex products through product development lifecycle
  • Excellent interpersonal and leadership skills with demonstrated ability to build effective working relationships with individuals and groups at all levels.
  • Demonstrated ability to communicate effectively both orally and in writing, including formal presentations and the facilitation of group planning sessions.
  • Ability to work within cross-functional teams.
  • Ability to write executive level documents and make executive level presentations.
  • Demonstrated excellent attention to detail including proven ability to manage multiple projects and priorities in parallel.
  • Demonstrated ability to dive deep in understanding the product, business, and market trends (including the competitive landscape).
  • Demonstrated ability to move abstract concepts and early product ideas through product development phases to deliver effective and successful product solutions with strong ROI

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Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
Pay Transparency Statement:
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
HCSC Employment Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Base Pay Range
$133,400.00 - $247,700.00
Exact compensation may vary based on skills, experience, and location.