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Stop Loss Rn Jobs (NOW HIRING)

Clinical Risk Manager

Windsor, CT · Hybrid

$84K - $140K/yr

Minimum of Associate or Bachelor's degree in nursing with at least 1 year of Stop Loss Nursing experience * Must have up to date registered nurse (RN) license * Able to demonstrate a track record of ...

Clinical Risk Manager

Windsor, CT · On-site

$84K - $140K/yr

Minimum of Associate or Bachelor's degree in nursing with at least 1 year of Stop Loss Nursing experience * Must have up to date registered nurse (RN) license * Able to demonstrate a track record of ...

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Stop Loss Rn information

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$68K

$114.4K

$206K

How much do stop loss rn jobs pay per year?

As of May 31, 2026, the average yearly pay for stop loss rn in the United States is $114,374.00, according to ZipRecruiter salary data. Most workers in this role earn between $98,500.00 and $126,500.00 per year, depending on experience, location, and employer.

What is a Stop Loss RN job?

A Stop Loss RN is a registered nurse who reviews medical claims and patient records to evaluate the necessity, accuracy, and cost of healthcare services for insurance companies or employers. They help determine whether claims exceed stop-loss insurance thresholds, which protect insurers or self-funded employers from excessive financial risk. This role involves assessing medical necessity, verifying coding accuracy, and collaborating with case managers, providers, and insurance teams. Strong analytical skills and clinical expertise are essential for making informed decisions on high-cost claims.

What are the key skills and qualifications needed to thrive in the Stop Loss Rn position, and why are they important?

To thrive as a Stop Loss RN, you need in-depth clinical nursing experience, a strong understanding of insurance policies and claims, and RN licensure. Familiarity with medical claims adjudication systems, electronic health records, and utilization review platforms is typically required. Excellent communication, critical thinking, and attention to detail set top performers apart in this role. These skills are important to effectively review complex medical cases, ensure appropriate healthcare coverage, and collaborate with both providers and insurers.

What are the typical daily responsibilities of a Stop Loss RN?

As a Stop Loss RN, your typical day involves reviewing high-cost medical claims, verifying the medical necessity of treatments, and assessing policy compliance to determine insurance coverage. You’ll collaborate closely with clinical staff, insurance specialists, and sometimes directly with healthcare providers to gather relevant information and ensure accurate case evaluations. Many Stop Loss RNs also prepare detailed reports and participate in case conferences. This role often combines remote desk work with communications across multidisciplinary teams, creating a dynamic environment well-suited for nurses looking to leverage their clinical expertise in an insurance or administrative setting.
What cities are hiring for Stop Loss Rn jobs? Cities with the most Stop Loss Rn job openings:
What are the most commonly searched types of Stop Loss Rn jobs? The most popular types of Stop Loss Rn jobs are:
What states have the most Stop Loss Rn jobs? States with the most job openings for Stop Loss Rn jobs include:
Infographic showing various Stop Loss Rn job openings in the United States as of May 2026, with employment types broken down into 8% As Needed, 52% Full Time, 31% Part Time, and 9% Contract. Highlights an 97% Physical, and 3% Remote job distribution, with an average salary of $114,374 per year, or $55 per hour.
Associate Underwriter, C&F Stop Loss

Associate Underwriter, C&F Stop Loss

Crum & Forster

Phoenix, AZ • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago


Job description

Crum & Forster Company Overview

Crum & Forster (C&F), with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A+"(Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry.

Our most valuable asset is our people: more than 2000 employees in locations throughout the United States. The company is increasingly winning recognition as a great place to work, earning several workplace and wellness awards, including the 2024 Great Place to Work Award for our employee-first focus and our steadfast commitment to diversity, equity and Inclusion.

C&F is part of Fairfax Financial Holdings, a global, billion dollar organization.  For more information about Crum & Forster, please visit our website: www.cfins.com.

Job Description

Since 2000, Crum & Forster's Accident & Health division (A&H) has offered a diverse portfolio of specialty insurance and reinsurance products nationwide. We place a strong focus on product development and creative distribution methods, along with excellent client service and support.

In addition to our robust domestic portfolio, which spans both special risk and medical solutions, A&H works on an international basis through various partnerships. Our global capabilities provide our partners with even broader flexibility in underwriting solutions.

The qualities and capabilities of Crum & Forster Accident & Health demonstrate our philosophy of building meaningful, long-term partnerships and our dedication to providing alternative strategies in an ever-changing insurance market.

 

The A&H MBU takes a full-spectrum approach to designing and servicing a robust slate of products tailored to needs in Employer Stop Loss & Excess Medical; and Ancillary, Life & Supplemental benefits. Our diversified business model includes program partnerships as well as direct sales in Employer Stop Loss. At year-end 2025, the MBU recorded over $1B in gross premium written.

 

Information about the Role, Line of Business and Team:

This is a unique opportunity to work with a high-quality team of leaders and benefit from the security and stability of a large organization while maintaining a nimble and responsive approach to business. The Associate Underwriter will develop skills for managing the pricing for a small block of Stop Loss business.  They will also assist more senior staff with case set up and making sure the correct reporting is received. 

What you will do:

  • Demonstrate understanding and proper use of underwriting tools
  • Apply underwriting rules, risk management principles and regulations to ensure compliance with all currently applicable corporate requirements and state and federal legislation
  • Develop awareness of market trends, products, market participants and competitive practices
  • Assist with analyzing results and maintaining accountability of agency partners within the department
  • Manage assigned workload for set up to meet productivity and timely service goals
  • Assess the information provided to develop sound Specific and Aggregate Stop Loss pricing recommendations for both prospective and in-force Employer Stop Loss accounts using multiple tools according to underwriting guidelines
  • Participate in the sales process by working with more senior staff and the sales team to formulate successful strategy
  • Begin developing strategic relationships with sales, brokers, third-party administrators (TPAs), and other external and internal partners
  • Screen large claims data prior to sending for nurse review with assistance from more senior staff
  • Develop ability to identify drivers of medical expenses in new and renewal cases
  • Coordinate with Operations or Management on providing documentation in compliance with Underwriting policies and procedures for Audit
  • Other duties as assigned

What YOU will bring to C&F:

  • Attention to detail with strong problem-solving skills
  • Effective relationship-building and interpersonal skills
  • Strong verbal and written communication skills
  • Service and sales orientation
  • Excellent organizational and time management skills with ability to multi-task with an emphasis on quality and customer service
  • Strong negotiation and influencing skills

Requirements:

  • Bachelor's degree from an accredited college or university
  • 1+ years of related work experience in underwriting and/or sales preferred
  • Industry designations applicable to area of specialization a plus
  • Experience in Employer Stop Loss a plus
  • Strong computer skills and Microsoft Office skills including Outlook, Word, Excel and PowerPoint
  • Knowledge of Connexure a plus
  • Willingness to travel multiple times per year to develop relationships
What C&F will bring to you

At C&F you will BELONG

We value inclusivity and diversity. We are committed to equal employment opportunity and welcome everyone regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. If you require special accommodation, please let us know.

For California Residents Only:  Information collected and processed as part of your career profile and any job applications you choose to submit are subject to our privacy notices and policies, visit https://www.cfins.com/onlineprivacypolicy/ca/noticeatcollection/ for more information.

Crum & Forster is committed to ensuring a workplace free from discriminatory pay disparities and complying with applicable pay equity laws.  Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions. The annualized base pay for the advertised position, located in the specified area, ranges from a minimum of $46,700 to a maximum of $68,400. The actual compensation is determined by various factors, including but not limited to the market pay for the jobs at each level, the responsibilities and skills required for each job, and the employee's contribution (performance) in that role. To be considered within market range, a salary is at or above the minimum of the range. You may also have the opportunity to participate in discretionary equity (stock) based compensation and/or performance-based variable pay programs.

  • Flexible work arrangements.
  • Competitive compensation package.  
  • Generous 401K employer match.
  • Employee Stock Purchase plan with employer matching.
  • Generous Paid Time Off.
  • Excellent benefits that go beyond health, dental & vision. Our Wellness programs focus on your family's complete wellness, including your physical and mental wellbeing
  • A core C&F principle is that you manage your career. To support your development, we have a wealth of ways for you to keep learning, including tuition reimbursement, industry related certifications and professional training available to you.
  • A dynamic, ambitious, fun and exciting work environment.
  • A spirit of social responsibility, matching donation program, volunteer opportunities, and an employee driven corporate giving.

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Employment Type: FULL_TIME