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Stop Loss Jobs in Tennessee (NOW HIRING)

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Stop Loss information

See Tennessee salary details

$13

$20

$30

How much do stop loss jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for stop loss in Tennessee is $20.32, according to ZipRecruiter salary data. Most workers in this role earn between $16.59 and $23.37 per hour, depending on experience, location, and employer.

What is a stop loss?

A Stop Loss job typically involves reviewing, analyzing, and managing stop-loss insurance policies, which help protect employers and insurers from catastrophic claims. Professionals in this role assess claims, set appropriate coverage limits, and work with underwriters, brokers, and policyholders to mitigate financial risk. They may also monitor trends in healthcare costs and claims data to adjust policies accordingly.

What are the key skills and qualifications needed to thrive in the stop loss position, and why are they important?

To thrive as a Stop Loss specialist, you need expertise in risk assessment, insurance policy analysis, and a strong understanding of healthcare or reinsurance principles, typically supported by a bachelor’s degree in finance, insurance, or a related field. Familiarity with industry platforms such as policy administration systems and strong proficiency in Excel or actuarial software are often required. Exceptional analytical thinking, attention to detail, and effective communication skills are highly valued for collaboration and client interactions. These abilities enable precise risk evaluation, thorough policy management, and the delivery of tailored solutions to clients and stakeholders.

What are some typical challenges faced by stop loss specialists in their day-to-day work?

Stop Loss specialists frequently encounter challenges such as balancing the need for thorough risk assessment with tight deadlines, interpreting complex claims data, and staying updated with changing regulations and market trends. They often manage multiple clients or policies simultaneously, requiring strong organizational and time-management skills. Additionally, collaborating with underwriting, claims, and broker teams is essential to ensure accurate and comprehensive coverage solutions. Developing effective communication strategies to explain policy details and recommendations to clients is key for success in this role.

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

The most popular types of Stop Loss jobs in Tennessee are:

What are popular job titles related to Stop Loss jobs in Tennessee?

For Stop Loss jobs in Tennessee, the most frequently searched job titles are:

What job categories do people searching Stop Loss jobs in Tennessee look for?

The top searched job categories for Stop Loss jobs in Tennessee are:

Stop Loss jobs near you
Infographic showing various Stop Loss job openings in Tennessee as of August 2026, with employment types broken down into 73% Full Time, 24% Part Time, 1% Temporary, 1% Contract, and 1% Nights. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $42,259 per year, or $20.3 per hour.

Stop Loss Analyst

Lucent Health Solutions LLC

Nashville, TN • On-site

$70 - $95/hr

Other

Medical

This job post has expired 1 day ago. Applications are no longer accepted.

Lucent Health rating

4.6

Company rating: 4.6 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

477th of 500 rated business services

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

3 days ago Requisition ID: 1694

About Lucent Health

Lucent Health combines top-tier claims management with a compassionate, human-focused, data-driven care management solution. This approach helps self-insured employers provide care management that enables health plan participants to make smarter, cost-saving healthcare decisions. Continuous data analytics offer ongoing insights, ensuring participants receive the right care, at the right cost, at the right time. Join us as we build a company that aims to be a better health benefits partner for self-insured employers.

Company Culture

We believe that the success of Lucent Health relies on having employees who are honest, ethical and hardworking. These values are the foundation of Lucent Health.

  • Transparent Communication: be open and clear in all interactions without withholding crucial information
  • Integrity: ensure accuracy in reporting, work outputs and any tasks assigned
  • Truthfulness: provide honest feedback and report any issues or challenges as they arise
  • Trustworthiness: build and maintain trust by consistently demonstrating reliable behavior

Ethical

  • Fair Decision Making: ensure all actions and decisions respect company policies and values
  • Accountability: own up to mistakes and take responsibility for rectifying them
  • Respect: treat colleagues, clients and partners with fairness and dignity
  • Confidentiality: safeguard sensitive information and avoid conflicts of interest

Hardworking

  • Consistency: meet or exceed deadlines, maintaining high productivity levels
  • Proactiveness: take initiative to tackle challenges without waiting to be asked
  • Willingness: voluntarily offer to assist in additional projects or tasks when needed
  • Adaptability: work efficiently under pressure or in changing environments

Summary

The Stop Loss Analyst plays a pivotal role in managing financial risk associated with self-funded health plans. This position supports the underwriting and claims processes by evaluating large claims, tracking stop loss reimbursement trends, and ensuring accurate and timely submissions. Ideal candidates will combine analytical rigor with industry knowledge to protect the TPA and its clients from catastrophic claims exposure.

Responsibilities

  • Evaluate large medical and pharmacy claims for stop loss reimbursement eligibility
  • Assist in preparation and submission of stop loss claims to carriers, ensuring compliance with contract terms
  • Monitor reimbursements and maintain status updates on pending claims
  • Collaborate with internal departments (Claims, Care Management, Finance) to gather documentation
  • Liaise with stop loss carriers to resolve claim issues and provide necessary support
  • Maintain detailed records in accordance with regulatory and HIPAA standards
  • Identify process inefficiencies and recommend improvements to optimize claims cycle time

Qualifications

  • Bachelor's degree in Business, Finance, Health Administration, or related field (preferred)
  • 2+ years of experience in stop loss claims or TPA operations
  • Strong working knowledge of self-funded health plans and stop loss contracts
  • Advanced Excel skills; proficiency in data analytics tools a plus
  • Exceptional attention to detail and organizational skills
  • Excellent communication and relationship management abilities

Preferred Qualifications

  • Familiarity with ICD-10, CPT, and medical coding terminology
  • Familiarity with LuminX or QicLink platforms
  • Ability to interpret legal and contractual language
  • Experience with claim adjudication systems or benefit platforms
  • Independent and proactive problem-solving mindset

Equal Employment Opportunity Policy Statement

Lucent Health is an Equal Opportunity Employer that does not discriminate based on actual or perceived race, color, creed, religion, alienage or national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity, gender expression, transgender status, sexual orientation, marital status, military service and veteran status.

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