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Work From Home Stop Loss Jobs (NOW HIRING)

Allied

Stop Loss Claims Specialist II-Specific

Chicago, IL · On-site +1

$24 - $26/hr

POSITION SUMMARY The Stop Loss Claim Specialist II (Specific) is responsible for preparing and ... Our remote friendly culture offers flexibility and the comfort of working from home, while also ...

Allied

Stop Loss Claims Specialist I-Specific

Chicago, IL · On-site +1

$23 - $24/hr

POSITION SUMMARY The Stop Loss Claim Specialist is responsible for preparing and filing medical ... Our remote friendly culture offers flexibility and the comfort of working from home, while also ...

Allied

Stop Loss Claims Specialist I-Aggregate

Chicago, IL · On-site +1

$23 - $24/hr

POSITION SUMMARY The Stop Loss Claim Specialist is responsible for preparing and filing medical ... Our remote friendly culture offers flexibility and the comfort of working from home, while also ...

Allied

Stop Loss Revenue Associate

Chicago, IL · On-site +1

$20 - $23/hr

POSITION SUMMARY The Stop Loss Revenue Associate (Revenue Associate) will engage in various ... Our remote friendly culture offers flexibility and the comfort of working from home, while also ...

Berkley

Stop Loss Underwriter

Indianapolis, IN · Remote

$90K - $110K/yr

You will work closely with more seasoned underwriting staff to develop more advanced underwriting ... Establish the basics of medical underwriting by training with and learning from the Company ...

Berkley

Stop Loss Underwriter

Indianapolis, IN · Remote

$90K - $110K/yr

You will work closely with more seasoned underwriting staff to develop more advanced underwriting ... Establish the basics of medical underwriting by training with and learning from the Company ...

Acrisure

Stop Loss Underwriter

Chicago, IL · On-site +1

$65K - $85K/yr

In the last twelve years, Acrisure has grown in revenue from $38 million to almost$5 billionand ... Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the ...

New

Acrisure

Stop Loss Underwriter

Stevens Point, WI · On-site +1

$65K - $85K/yr

In the last twelve years, Acrisure has grown in revenue from $38 million to almost$5 billionand ... Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the ...

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Work From Home Stop Loss information

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How much do work from home stop loss jobs pay per hour?

As of Aug 1, 2026, the average hourly pay for work from home stop loss in the United States is $31.42, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $47.36 per hour, depending on experience, location, and employer.

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

To thrive as a Work From Home Stop Loss specialist, you need a solid understanding of insurance policies, claims processing, and risk management principles, often supported by prior experience in health insurance or a related field. Familiarity with claims management software, CRM systems, and secure remote communication tools is typically required. Excellent attention to detail, analytical thinking, and strong written communication skills set exceptional candidates apart. These skills ensure accurate claims adjudication and effective collaboration with team members and clients in a remote setting.

What are the primary responsibilities of a Work From Home Stop Loss specialist?

A Work From Home Stop Loss specialist is primarily responsible for reviewing, processing, and managing stop loss insurance claims remotely. This includes evaluating claim documentation, verifying policy details, liaising with brokers and employers, and ensuring timely and accurate claim resolution. You will regularly collaborate with underwriters, case managers, and other claims professionals via digital platforms to resolve complex cases. Working from home requires strong self-discipline and organizational skills, as you'll manage your caseload independently while staying connected to your team through virtual meetings and communication tools. This position offers the opportunity to develop expertise in a specialized area of insurance while enjoying the flexibility of a remote work environment.

What is a Work From Home Stop Loss job?

A Work From Home Stop Loss job typically involves reviewing and processing stop-loss insurance claims remotely. Stop-loss insurance is a type of coverage that protects self-funded employers from catastrophic losses on employee healthcare claims. Professionals in this role analyze medical claims, verify policy compliance, and determine reimbursement eligibility. They may also communicate with insurers, healthcare providers, and employers to clarify claim details. This role requires knowledge of medical billing, insurance policies, and claims processing.

More about Work From Home Stop Loss jobs
What cities are hiring for Work From Home Stop Loss jobs? Cities with the most Work From Home Stop Loss job openings:
What states have the most Work From Home Stop Loss jobs? States with the most job openings for Work From Home Stop Loss jobs include:
What job categories do people searching Work From Home Stop Loss jobs look for? The top searched job categories for Work From Home Stop Loss jobs are:
Work From Home Stop Loss jobs near you
Infographic showing various Work From Home Stop Loss job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 72% Full Time, 23% Part Time, and 4% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $65,353 per year, or $31.4 per hour.

Stop Loss Claims Specialist II-Specific

Allied

Chicago, IL • On-site, Remote

$24 - $26/hr

Full-time

Medical, Dental, Vision, Life, PTO

Re-posted 23 days ago

Job description

POSITION SUMMARY
The Stop Loss Claim Specialist II (Specific) is responsible for preparing and filing medical stop loss claims for reimbursement with stop loss carriers for individual stop loss (Specific) coverage. Additional duties include following up with the various carriers to ensure reimbursements are received timely and in full. Further responsibilities include the appeals of denied and reduced claim reimbursements, along with retaining the appropriate documentation needed to support the reimbursement request. The Stop Loss Claim Specialist II will be responsible for training team members. In addition, duties will include maintaining a relationship with priority carriers.
ESSENTIAL FUNCTIONS
  • Compile and submit claim reports and the necessary documentation to file a stop loss claim.
  • Monitor the status of claims assigned and follow up with stop loss carriers.
  • Answer questions and requests from stop loss carriers for additional information.
  • Communicate with other internal departments to resolve claim issues.
  • Appeal the denials or reduction of reimbursements by the stop loss carrier.
  • Filing Stop Loss Claims with priority carriers.
  • Coordinating with other Stop Loss Team Members regarding priority claims.
  • Filing high dollar claims.
  • Retain necessary documents required by carriers from providers.
  • Training team members regarding departmental process and workflows.
  • Other duties as assigned.

EDUCATION
  • High School Diploma or GED required.
  • College degree preferred.

EXPERIENCE AND SKILLS
  • Minimum 2 years of stop loss claim filing experience, required.
  • Medical claims experience required.
  • Accounting or Finance background a plus.
  • Proficient with Microsoft Office Suite or related software.
  • Strong analytical and problem solving skills.
  • Excellent verbal and written communication skills.
  • Excellent organizational skills and attention to detail.
  • Excellent time management skills with a proven ability to meet deadlines.

POSITION COMPETENCIES
  • Accountability
  • Communication
  • Customer Service Orientation
  • Functional/Technical Skills
  • Quality Focus
  • Time and Task Management

PHYSICAL DEMANDS
  • This is a standard desk role requiring extended sitting and computer work.

WORK ENVIRONMENT
  • Remote

Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.
The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.
Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.

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