Solid understanding of the cost components of fully insured and self-funded health plans (e.g., premiums, claims, stop-loss, administrative fees, PBM costs). * Understanding of current technology and ...
Solid understanding of the cost components of fully insured and self-funded health plans (e.g., premiums, claims, stop-loss, administrative fees, PBM costs). * Understanding of current technology and ...
Employee Benefits Data Analyst
Grand Rapids, MI · On-site +1
Solid understanding of the cost components of fully insured and self-funded health plans (e.g., premiums, claims, stop-loss, administrative fees, PBM costs). * Understanding of current technology and ...
Employee Benefits Data Analyst
Grand Rapids, MI · On-site +1
Solid understanding of the cost components of fully insured and self-funded health plans (e.g., premiums, claims, stop-loss, administrative fees, PBM costs). * Understanding of current technology and ...
Solid understanding of the cost components of fully insured and self-funded health plans (e.g., premiums, claims, stop-loss, administrative fees, PBM costs). * Understanding of current technology and ...
Solid understanding of the cost components of fully insured and self-funded health plans (e.g., premiums, claims, stop-loss, administrative fees, PBM costs). * Understanding of current technology and ...
... fully insured and self-funded, and Medicare Advantage products; partners with HAP CareSource on ... Partners with value-based care providers to develop appropriate stop loss rates. * Performs other ...
... fully insured and self-funded, and Medicare Advantage products; partners with HAP CareSource on ... Partners with value-based care providers to develop appropriate stop loss rates. * Performs other ...
Extensive and well-developed technical knowledge of healthcare insurance products/programs, including Medicare Advantage, self-funding arrangements, stop loss, ancillary (e.g., dental, vision ...
Extensive and well-developed technical knowledge of healthcare insurance products/programs, including Medicare Advantage, self-funding arrangements, stop loss, ancillary (e.g., dental, vision ...
Extensive and well-developed technical knowledge of healthcare insurance products/programs, including Medicare Advantage, self-funding arrangements, stop loss, ancillary (e.g., dental, vision ...
Extensive and well-developed technical knowledge of healthcare insurance products/programs, including Medicare Advantage, self-funding arrangements, stop loss, ancillary (e.g., dental, vision ...
Extensive and well-developed technical knowledge of healthcare insurance products/programs, including Medicare Advantage, self-funding arrangements, stop loss, ancillary (e.g., dental, vision ...
Extensive and well-developed technical knowledge of healthcare insurance products/programs, including Medicare Advantage, self-funding arrangements, stop loss, ancillary (e.g., dental, vision ...
... fully insured and self-funded, and Medicare Advantage products; partners with HAP CareSource on ... Partners with value-based care providers to develop appropriate stop loss rates. * Performs other ...
... fully insured and self-funded, and Medicare Advantage products; partners with HAP CareSource on ... Partners with value-based care providers to develop appropriate stop loss rates. * Performs other ...
Claims Assistant
Wolverine, MI · On-site
$17.75 - $22.75/hr
Cherokee Insurance, a leading commercial Property/Casualty insurance provider, is currently in ... Process stop pays. * Process form letters and miscellaneous documents for adjusters. * Distribute ...
Claims Assistant
Wolverine, MI · On-site
$17.75 - $22.75/hr
Cherokee Insurance, a leading commercial Property/Casualty insurance provider, is currently in ... Process stop pays. * Process form letters and miscellaneous documents for adjusters. * Distribute ...
Claims Assistant
$17.75 - $22.75/hr
Cherokee Insurance, a leading commercial Property/Casualty insurance provider, is currently in ... Process stop pays. * Process form letters and miscellaneous documents for adjusters. * Distribute ...
Claims Assistant
$17.75 - $22.75/hr
Cherokee Insurance, a leading commercial Property/Casualty insurance provider, is currently in ... Process stop pays. * Process form letters and miscellaneous documents for adjusters. * Distribute ...
MI Barred No Fault Attorney
$120K - $145K/yr
... losses to a client's business, the attorneys of the Transportation Law Group will take decisive ... self-insured employers and their third-party administrators and excess carriers in occupational ...
MI Barred No Fault Attorney
$120K - $145K/yr
... losses to a client's business, the attorneys of the Transportation Law Group will take decisive ... self-insured employers and their third-party administrators and excess carriers in occupational ...
Partner Level Commercial Litigation Attorney
$150K - $200K/yr
... losses to a client's business, the attorneys of the Transportation Law Group will take decisive ... self-insured employers and their third-party administrators and excess carriers in occupational ...
Partner Level Commercial Litigation Attorney
$150K - $200K/yr
... losses to a client's business, the attorneys of the Transportation Law Group will take decisive ... self-insured employers and their third-party administrators and excess carriers in occupational ...
General Manager in Training - Retail
$49K - $63K/yr
Flexible Scheduling * 401(k) - 100% match up to 5% * Medical/Dental/Vision Insurance after 30-days ... Understand financial reporting to include analyzing profit and loss statements and affecting ...
New
General Manager in Training - Retail
$49K - $63K/yr
Flexible Scheduling * 401(k) - 100% match up to 5% * Medical/Dental/Vision Insurance after 30-days ... Understand financial reporting to include analyzing profit and loss statements and affecting ...
New
$42K - $54K/yr
Flexible Scheduling * 401(k) - 100% match up to 5% * Medical/Dental/Vision Insurance after 30-days ... Requirements: · 2+ years in retail, travel stop or c-store, big box, grocery, or department store ...
New
$42K - $54K/yr
Flexible Scheduling * 401(k) - 100% match up to 5% * Medical/Dental/Vision Insurance after 30-days ... Requirements: · 2+ years in retail, travel stop or c-store, big box, grocery, or department store ...
New
Staff Accountant
Southfield, MI · On-site
$50K - $66K/yr
Analyze Profit and Loss statements related to assigned responsibilities. * Provide support for the ... Medical, Dental, Vision Insurance * Flexible Spending Account * Life/AD&D Insurance * Short ...
Staff Accountant
Southfield, MI · On-site
$50K - $66K/yr
Analyze Profit and Loss statements related to assigned responsibilities. * Provide support for the ... Medical, Dental, Vision Insurance * Flexible Spending Account * Life/AD&D Insurance * Short ...
Staff Accountant
Southfield, MI · On-site
$50K - $66K/yr
Analyze Profit and Loss statements related to assigned responsibilities. * Provide support for the ... Medical, Dental, Vision Insurance * Flexible Spending Account * Life/AD&D Insurance * Short ...
Staff Accountant
Southfield, MI · On-site
$50K - $66K/yr
Analyze Profit and Loss statements related to assigned responsibilities. * Provide support for the ... Medical, Dental, Vision Insurance * Flexible Spending Account * Life/AD&D Insurance * Short ...
RETAIL SPECIALIST (FULL TIME)
Detroit, MI · On-site
$19/hr
Text STOP to opt out or HELP for help. Terms and conditions: Application Deadline: applications are ... Medical, Dental, Vision, Life Insurance/AD, Disability Insurance, Commuter Benefits, Employee ...
New
RETAIL SPECIALIST (FULL TIME)
Detroit, MI · On-site
$19/hr
Text STOP to opt out or HELP for help. Terms and conditions: Application Deadline: applications are ... Medical, Dental, Vision, Life Insurance/AD, Disability Insurance, Commuter Benefits, Employee ...
New
RETAIL SPECIALIST (FULL TIME)
Detroit, MI · On-site
$19/hr
Text STOP to opt out or HELP for help. Terms and conditions: Application Deadline: applications are ... Medical, Dental, Vision, Life Insurance/AD, Disability Insurance, Commuter Benefits, Employee ...
New
Quick apply
RETAIL SPECIALIST (FULL TIME)
Detroit, MI · On-site
$19/hr
Text STOP to opt out or HELP for help. Terms and conditions: Application Deadline: applications are ... Medical, Dental, Vision, Life Insurance/AD, Disability Insurance, Commuter Benefits, Employee ...
New
Member Resolution Associate/Retention - 100% Remote
Lansing, MI · Remote
$16.63/hr
Frontdoor is a cutting edge, one-stop app for home repair and maintenance. Enabled by our Streem ... insurance for medical/pharmacy, dental, vision, life, and disability, weight loss and smoking ...
Member Resolution Associate/Retention - 100% Remote
Lansing, MI · Remote
$16.63/hr
Frontdoor is a cutting edge, one-stop app for home repair and maintenance. Enabled by our Streem ... insurance for medical/pharmacy, dental, vision, life, and disability, weight loss and smoking ...
Attorney, Labor & Employment
$150K - $250K/yr
Term Life Insurance and AD&D & Travel Accident Term Life Insurance * Short & Long Term Disability ... Parental Leave * Pregnancy Loss Paid Leave * Banking & Financial Institution Relationships
Attorney, Labor & Employment
$150K - $250K/yr
Term Life Insurance and AD&D & Travel Accident Term Life Insurance * Short & Long Term Disability ... Parental Leave * Pregnancy Loss Paid Leave * Banking & Financial Institution Relationships
Stop Loss Insurance information
See Michigan salary details
$19.3K - $26.3K
5% of jobs
$33K is the 25th percentile. Wages below this are outliers.
$26.3K - $33.4K
21% of jobs
$33.4K - $40.4K
9% of jobs
$40.4K - $47.4K
8% of jobs
The median wage is $54.4K / yr.
$47.4K - $54.4K
6% of jobs
$54.4K - $61.5K
5% of jobs
$61.5K - $68.5K
4% of jobs
$68.5K - $75.5K
6% of jobs
$81.3K is the 75th percentile. Wages above this are outliers.
$75.5K - $82.5K
11% of jobs
$82.5K - $89.6K
11% of jobs
$89.6K - $96.6K
11% of jobs
$19.3K
$60.8K
$96.6K
How much do stop loss insurance jobs pay per year?
What are the key skills and qualifications needed to thrive in the Stop Loss Insurance position, and why are they important?
To excel in Stop Loss Insurance, professionals need a solid understanding of underwriting principles, risk assessment, healthcare plan structures, and industry regulations, often supported by a bachelor’s degree in business, finance, or healthcare management. Familiarity with actuarial software, claims management systems, and relevant insurance certifications such as the Health Insurance Associate (HIA) or Certified Employee Benefit Specialist (CEBS) is highly valued. Strong analytical thinking, attention to detail, and effective communication skills help individuals liaise with clients, brokers, and internal stakeholders. These abilities ensure accurate risk evaluation, foster positive client relationships, and enable informed decision-making in a fast-paced, detail-oriented industry.
What is a Stop Loss Insurance job?
A Stop Loss Insurance job typically involves managing and underwriting stop-loss policies, which protect self-funded employers from catastrophic claims. Professionals in this role assess risk, analyze claims data, and work with brokers or insurers to structure policies that limit financial exposure. They may also negotiate contract terms, monitor ongoing claims, and ensure compliance with healthcare regulations.
What are typical daily responsibilities for a professional working in Stop Loss Insurance?
A typical day in a Stop Loss Insurance role involves reviewing and underwriting group health risk data, analyzing claims activity, and issuing or renewing policies based on risk evaluation criteria. Professionals also interact with brokers, third-party administrators, and employer clients to clarify coverage terms, answer questions, and negotiate contract specifics. Additional tasks may include monitoring large claims, coordinating with actuarial teams, and staying current with regulations and market trends. This dynamic environment requires effective prioritization and strong collaboration, ensuring accurate coverage while supporting clients’ risk management needs.

Full-time
Medical, Life
Posted 8 days ago
Job description
Full-time
Description
Position Summary:
The Employee Benefits Data Analyst plays a key role in supporting OVD Insurance clients by managing monthly reporting and transforming complex plan data into clear, actionable insights. This role analyzes medical plan costs, demographics, and other factors affecting the risk profile of select clients, evaluating financial performance and identifying trends, risks, and cost drivers, with the goal of proactively reducing the client's risk profile and overall costs. This is an evolving role that adapts to industry changes, client needs, and reporting requirements, and is expected to grow with the analytics function over time, including helping evaluate and/or implement new data and reporting tools and programs.
Location: Grand Rapids, MI
Work Model: Hybrid (3 days onsite & 2 days remote) in Grand Rapids, MI
Here's what you'll do:
- Retrieve claims reports from carriers and 3rd party data analytics vendors
- Create and update monthly tracking reports for all self-funded and level-funded groups and larger fully insured groups.
- Provide analysis regarding any outliers in monthly reports that may affect risk/costs to agents and clients. Provide explanations and answer client/agent questions regarding reports and analyses.
- Identify trends, risks, cost drivers, and utilization patterns impacting healthcare spend for assigned clients, and communicate findings clearly to agents, clients, and internal leadership
- Review underwriting period claims and provide notice to agents if clients are likely to experience a significant increase at renewal.
- Project renewal increases for agents based on current claims
- Assist in reviewing renewals from carriers upon request, helping identify areas agents can use as negotiating points with the carrier to reduce renewals
- Identify discrepancies between carrier and 3rd party data analytics vendors. Develop short-term solutions to correct discrepancies and collaborate with carriers and 3rd party data analytics providers to develop long-term solutions for eliminating them.
- Perform other plan analyses upon agent request
- Assist in evaluating and/or implementing new data analytics tools and reporting programs
Here's what you'll need:
- Current Life, Accident, and Health Insurance Certification with the State of Michigan required, or willingness to obtain within 6 months of hire.
- 3+ Years of experience with medical plan analytics, underwriting, or reporting at an agency, medical carrier, or TPA
- Strong Excel skills (ex. formula application and creation), with a willingness to build toward more advanced functionality
- Ability to identify data accuracy concerns and proactively work to find long-term solutions to resolve them.
- Ability to provide detailed work with a minimum of errors.
- Solid understanding of the cost components of fully insured and self-funded health plans (e.g., premiums, claims, stop-loss, administrative fees, PBM costs).
- Understanding of current technology and reporting systems, with a willingness to help evaluate other data analytics tools and programs.
- Ability to work full-time in a hybrid capacity (management discretion) at the Grand Rapids facility
- Strong oral and written communication skills, including the ability to translate "technical speak" in a way that end users at all levels can understand.
- High energy work ethic with ability to work independently while maintaining excellent customer relationships.
- Ability to work collaboratively with others.
- Ability to work without direct supervision.
- Regular and predictable attendance.
Core Competencies:
- Accuracy: Achievement of correct and precise work.
- Accountability: Acceptance of responsibility and one's own actions.
- Written Communication: Ability to write letters, reports, articles, and e-mails using clear and concise vocabulary, style, grammar, and punctuation.
- Customer Orientation: A desire to serve clients by focusing efforts on listening and responding effectively to customer questions, resolving customer problems to their satisfaction, and evaluating customer satisfaction.
- Problem Solving: Ability to recognize courses of action which can be taken to handle problems or potential problems and applying contingency plans to solve those problems.
Work Environment & Physical Requirements:
The work environment and physical demands described here are representative of those that may be encountered and must be met by an associate to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
- Ability to sit at a desk for an extended period.
- While performing the duties of this job, the employee may be regularly required to stand, sit, talk, hear, reach, stoop, kneel, and use hands and fingers to operate a computer, telephone and keyboard.
- Specific vision abilities required by this job include close vision requirements due to computer work and the ability to read and understand written word.
OVD Insurance is an Equal Opportunity Employer, including disability and veteran, that celebrates diversity and believes employing a diverse workforce is key to our success. We are committed to providing equal employment opportunities to all individuals. All applicants will be considered for employment without attention to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran, or disability status.
To Executive Search Firms & Staffing Agencies: OVD Insurance does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered OVD Insurance property, and OVD Insurance will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting OVD Insurance Human Resources Talent Department.
We are not able to sponsor work visas for this position.
This job description does not list all duties of the job. Employees may be asked by management to perform other duties as needed. The Company reserves the right to revise this job description at any time. This job description is not a contract for employment and does not infringe upon the Company's at-will employment status.