ZipRecruiter

Log In

2

Work From Home Stop Loss Rn 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 ...

Oak St. 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

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

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 ...

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 ...

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 ...

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 ...

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 ...

next page

Showing results 1-20

All Jobsremote JobsWORK FROM HOME OPPORTUNITY JobsWork From Home Stop Loss Rn Jobs

Work From Home Stop Loss Rn information

See salary details

$68K

$114.4K

$206K

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

As of Aug 28, 2026, the average yearly pay for work from home 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 Work From Home Stop Loss RN?

A Work From Home Stop Loss RN is a registered nurse who works remotely, typically for insurance companies or third-party administrators, to review medical claims associated with stop loss insurance policies. Their main responsibility is to assess the medical necessity and appropriateness of claims that exceed certain thresholds, helping employers and insurers manage high-cost healthcare claims. These nurses use their clinical expertise to analyze medical records, communicate with providers, and ensure that claims are processed accurately and efficiently. Working from home allows them to perform these tasks virtually, often using secure digital platforms.

What are the key skills and qualifications needed to thrive as a Work From Home Stop Loss RN?

To thrive as a Work From Home Stop Loss RN, you need a current RN license, strong clinical assessment skills, and experience in utilization review or case management. Familiarity with health insurance systems, stop loss claims processes, and electronic medical record (EMR) platforms is typically required. Excellent attention to detail, critical thinking, and effective written communication are crucial soft skills for remote collaboration and accurate documentation. These abilities ensure accurate claim evaluations, regulatory compliance, and efficient coordination with insurers and healthcare providers.

What are some common challenges faced by Work From Home Stop Loss RNs, and how can they be addressed?

Work From Home Stop Loss RNs often face challenges related to remote communication, maintaining up-to-date clinical knowledge, and managing a high volume of case reviews. Since collaboration is primarily virtual, it's important to develop strong written and verbal communication skills to effectively coordinate with physicians, case managers, and insurance teams. Staying current with clinical guidelines and leveraging digital tools for documentation and workflow management can help streamline responsibilities and ensure accurate decision-making. Building a structured daily routine and proactively seeking support from team leads or mentors can also help address feelings of isolation and ensure ongoing professional growth.

What is the difference between Work From Home Stop Loss Rn vs Work From Home Case Manager?

AspectWork From Home Stop Loss RnWork From Home Case Manager
CredentialsRN license, certifications in insurance or risk managementRN license, case management certification
Work EnvironmentHome-based, insurance and healthcare settingsHome-based, healthcare and insurance industries
Industry UsageInsurance companies, healthcare providersInsurance companies, healthcare organizations
Job FocusManaging stop loss insurance claims and riskCoordinating patient care and insurance processes

While both roles require RN licensure and healthcare knowledge, the Work From Home Stop Loss Rn focuses on managing insurance claims related to stop loss coverage, emphasizing risk assessment. In contrast, the Work From Home Case Manager concentrates on coordinating patient care and insurance processes. Both roles are home-based and serve the healthcare and insurance industries, but their primary responsibilities differ significantly.

More about Work From Home Stop Loss Rn jobs

What cities are hiring for Work From Home Stop Loss Rn jobs?

Cities with the most Work From Home Stop Loss Rn job openings:

What states have the most Work From Home Stop Loss Rn jobs?

States with the most job openings for Work From Home Stop Loss Rn jobs include:

What job categories do people searching Work From Home Stop Loss Rn jobs look for?

The top searched job categories for Work From Home Stop Loss Rn jobs are:

Work From Home Stop Loss Rn jobs near you
Infographic showing various Work From Home Stop Loss Rn job openings in the United States as of August 2026, with employment types broken down into 65% Full Time, 23% Part Time, and 12% Contract. Highlights an 100% Remote job distribution, with an average salary of $114,374 per year, or $55 per hour.

Supervisor, Stop Loss

Chicago, IL • Remote

Allied Benefit Systems
Insurance Services • 201 - 500 employees

8.1

Company rating: 8.1 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

107th of 496 rated business services

Good employer

Respectful managers

Uninterrupted breaks

Learn more about Allied Benefit Systemsexternal

$147K/yr

Full-time

Medical, Dental, Vision, Life, PTO

Posted 13 days ago

Job description

POSITION SUMMARY

The Supervisor, Stop Loss is responsible for assisting the Manager, Stop Loss with overseeing the department. Duties include auditing and tracking stop loss claim filings, reimbursements, and cash advance claims to ensure the department is running in an efficient and thorough manner. The Supervisor, Stop Loss also works closely with Stop Loss Data Specialist and Reimbursement Specialist on administrative, organizational, and auditing functions.

ESSENTIAL FUNCTIONS

  • Perform weekly audits of specific claims to ensure all claims were filed correctly and all reimbursements have been received.
  • Update and manage the stop loss tracking and specific logs to monitor the current status of members over the specific deductible.
  • Review and accurately record stop loss reimbursements.
  • Gather and prepare the data required to file Rx stop loss claims.
  • Responsible for the filing of aggregate claims and securing reimbursements.
  • Assist with making claim adjustments.
  • Organize the enrollment of new clients into the ACH reimbursement program.
  • Lead, coach, motivate and develop. Responsible for one on one meetings, performance appraisals, growth opportunities and attracting new talent.
  • Clearly communicate expectations, provide employees with the training, resources, and information needed to succeed.
  • Actively engage, coach, counsel and provide timely, and constructive performance feedback.
  • Other duties as assigned.

EDUCATION

  • Bachelor's degree or equivalent work experience required.

EXPERIENCE AND SKILLS

  • At least 5 years group health insurance/benefits experience required.
  • At least 2 years supervisory experience required.
  • Must be highly proficient in the use of Microsoft Word, Excel, and Outlook
  • Must have the ability to easily learn new computer applications.

POSITION COMPETENCIES

  • Accountability
  • Coaching and Feedback
  • Collaboration
  • Customer Focus
  • Decision Making
  • Execution Management
  • People Leadership

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 a 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.

What Allied Benefit Systems employees say

Pay

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply