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Work From Home Stop Loss Jobs (NOW HIRING)

Allied Benefit Systems

Supervisor, Stop Loss

Chicago, IL · Remote

$147K/yr

The Supervisor, Stop Loss also works closely with Stop Loss Data Specialist and Reimbursement ... Our remote friendly culture offers flexibility and the comfort of working from home, while also ...

Allied

Supervisor, Stop Loss

Chicago, IL · On-site +1

$60K - $65K/yr

The Supervisor, Stop Loss also works closely with Stop Loss Data Specialist and Reimbursement ... Our remote friendly culture offers flexibility and the comfort of working from home, while also ...

CVS Health

Stop Loss Aggregate Analyst

$18.50 - $35.29/hr

Ability to work independently and collaboratively across a matrixed team in a fast-paced ... Stop loss or reinsurance experience * Experience preparing or supporting stop loss claim filings

New

Berkley

Stop Loss Underwriter

Trenton, NJ · 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 ...

New

Berkley

Stop Loss Underwriter

Trenton, NJ · 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 ...

Brown & Brown, Inc.

Trainer Stop Loss Claims

$80K - $100K/yr

Ability to work independently with minimal supervision. Preferred Qualifications: * Prior ... Recruiting Vendor Disclosure Statement Brown & Brown does not accept unsolicited resumes from ...

Point C

Senior Manager, Stop Loss Filling

OR · On-site +1

The Sr. Manager oversees all aspects of stop-loss operations, from policy setup and filings through ... Supporting platform migration work (including QicLink-to-VBA transition) as it relates to stop-loss ...

Acrisure

Stop Loss Underwriter

Las Vegas, NV · On-site +1

$60K - $85K/yr

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

Brown & Brown Insurance

Trainer Stop Loss Claims

$80K - $100K/yr

Ability to work independently with minimal supervision. Preferred Qualifications: * Prior ... Recruiting Vendor Disclosure Statement Brown & Brown does not accept unsolicited resumes from ...

Acrisure

Stop Loss Underwriter

Stevens Point, WI · On-site +1

$60K - $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 ...

Berkley

Senior Stop Loss Underwriter

Indianapolis, IN · Remote

$90K - $120K/yr

Harleysville, PA Our offices offer a hybrid work schedule with 4 days in the office; and 1 day ... We do not accept any unsolicited resumes from external recruiting agencies or firms. The company ...

Point C

Senior Manager, Stop Loss Filling

$800/wk

The Sr. Manager oversees all aspects of stop-loss operations, from policy setup and filings through ... Supporting platform migration work (including QicLink-to-VBA transition) as it relates to stop-loss ...

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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 22, 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 is a work from home stop loss?

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.

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 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.

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Work From Home Stop Loss jobs near you
Infographic showing various Work From Home Stop Loss job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, and 3% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $65,353 per year, or $31.4 per hour.

Clinical Stop Loss Nurse - Work From Home

Health Care Service Corporation

Chicago, IL • On-site, Remote

$84K - $152K/yr

Full-time

Medical, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

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 SummaryThis position is responsible for the review of case management notes, large claims reports and shock reporting for individuals and groups seeking stop loss insurance quotes and renewals. The position works closely with internal claim, clinical and case management teams to develop ongoing care and cost projections. The projections are then communicated to underwriting to help evaluate potential risk and associated costs.

Required Job Qualifications:

  • Bachelor's degree in nursing is preferred with current state licensure and at least 3-5 years of clinical experience
  • 2-4 years experience with Stop Loss products and clinical programs
  • Strong analytical and problem solving skills
  • Excellent organizational and time management skills, able to work independently with little supervision while handling numerous projects at once
  • Excellent written/verbal communication skills, especially the ability to communicate effectively with underwriting staff
  • Ability to complete cost projections on new and renewal business within 24-48 hours of receipt
  • Documentation with clinical summary and estimated cost of care for each individual identified as at risk
  • Must have a track record of producing work that is highly accurate, demonstrates attention to detail, and reflects well on the organization
  • Computer proficiency, specifically strong typing skills and Internet research skills, must have a clear understanding of Microsoft Word, Microsoft Office and Excel.

Preferred Job Qualifications:

  • Clinical claims review and claims auditing experience
  • Experience in managing complex or catastrophic health cases
  • Specialty clinical experience in intensive care medicine, orthopedic, NICU/pediatric, oncology, diabetic member management, obstetric (low to high risk maternity management)
  • Working toward or completion of CCM/CCP/CDE/MCG certification or Advanced degree
  • Knowledge of Milliman Guidelines or similar clinical guidelines
  • Knowledge of medical management policies and procedures

#LI-MW2

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 plansubject 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$84,400.00 - $152,300.00

Exact compensation may vary based on skills, experience, and location.

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