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Work From Home Stop Loss Rn Jobs in Gilbert, AZ (NOW HIRING)

The Jernigan Agency

WORK FROM HOME

Gilbert, AZ · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...

The Jernigan Agency

WORK FROM HOME

Phoenix, AZ · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...

AO ASPIRE

Be Seen First

WORK FROM HOME SALES

Mesa, AZ · Remote

$1.0K - $500K/yr

Whether you're working from home or exploring the world, your commitment to helping others doesn't have to be tied to a desk. * Incentives & Rewards: Earn prizes like Jeep Wranglers and MacBook Pros ...

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All JobsStop Loss Rn JobsWork From Home Stop Loss Rn JobsWork From Home Stop Loss Rn Jobs in Gilbert, AZ

Work From Home Stop Loss Rn information

See Gilbert, AZ salary details

$67.8K

$114K

$205.3K

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

As of Aug 11, 2026, the average yearly pay for work from home stop loss rn in Gilbert, AZ is $114,009.00, according to ZipRecruiter salary data. Most workers in this role earn between $98,200.00 and $126,100.00 per year, depending on experience, location, and employer.

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.

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 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 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.
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Work From Home Stop Loss Rn jobs near you
Infographic showing various Work From Home Stop Loss Rn job openings in Gilbert, AZ as of August 2026, with employment types broken down into 65% Full Time, 25% Part Time, and 10% Contract. Highlights an 3% In-person, and 97% Remote job distribution, with an average salary of $114,009 per year, or $54.8 per hour.

Loss Control Specialist - WFH

Vensure Employer Services

Chandler, AZ • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 23 days ago

Job description

We are a proud work-from-office company. If you're ready to work on-site in a dynamic, global company, we'd love to hear from you.
About Us
Vensure Employer Solutions is the largest privately held organization in the HR technology and service sector, providing a comprehensive portfolio of solutions, including HR/HCM technology, managed services, and global business process outsourcing (BPO). The company and its service providers collectively serve over 95,000 businesses and process over $135B in annual payroll. As a "One Employer Solution" headquartered in Chandler, Arizona, Vensure helps thousands of businesses streamline and grow their operations with custom strategies that benefit both employers and employees. Find out more by visiting www.vensure.com .
Position Summary
The Loss Control Specialist provides loss control service to clients located within a defined region. Primary mission is to fulfill client service responsibilities as outlined in our Client Service Agreement with the client and reduce the financial loss in our workers compensation program by recommending hazard/exposure controls, assisting with the implementation of effective safety programs and providing safety awareness training.
Essential Duties and Responsibilities
  • Conduct comprehensive hazard assessments for the underwriting department, evaluating risk acceptability and supporting decisions related to policy issuance and renewal.
  • Perform onsite safety surveys and detailed client interviews to identify hazards, operational risks, and potential exposures associated with clients' business activities.
  • Evaluate the effectiveness of existing client controls addressing identified hazards and operational exposures.
  • Develop customized client health and safety programs and support clients through implementation and ongoing compliance.
  • Prepare and submit detailed written recommendations outlining effective and practical controls to mitigate identified hazards and exposures.
  • Identify underperforming clients from a risk, safety, and loss-experience perspective.
  • Recommend placement of clients on risk improvement programs or potential termination based on safety performance and risk profile.
  • Deliver safety services and client training in accordance with established client service agreements.
  • Document findings from all onsite client inspections in alignment with established loss control level guidelines.
  • Provide clients with guidance and interpretation of applicable OSHA regulations to support regulatory compliance.
  • Conduct accident investigations for significant losses, review accident and claim reports, and serve as a liaison between clients and claims representatives for follow-up and resolution.
  • Coordinate claim management activities with the Claims Manager as needed to ensure effective handling and communication.
  • Regular, on-site attendance is an essential job function due to the need for secure access to systems, collaboration on sensitive technical matters, participation in operational meetings, and hands-on involvement in activities that cannot be performed remotely without compromising security, efficiency, or effectiveness.
  • Frequent domestic travel will be required to attend team onsite meetings, client visits, customer events, industry conferences, and training sessions. This may include air travel, ground transportation (including cars, taxis, or rideshare services), and in some cases potential public transportation.
  • Will participate in special projects assigned by the SVP or VP of Loss Control.
  • Give advisement on client safety practices during annual Client review.
  • Build, maintain and promote relationships with team members, peers across disciplines, and all other company team members ensuring effective coordination of communications and services affecting clients.
  • Attend webinars and training to stay up to date on best practices related to the company and department.

Knowledge, Skills, and Abilities
  • Exceptional time management and organizational skills, with the ability to prioritize effectively and perform under pressure in dynamic environments.
  • Excellent verbal, written, presentation, and interpersonal communication skills, enabling effective interaction with clients, carriers, and associates at all levels of responsibility.
  • Strong understanding of relevant professional and industry standards, practices, and regulatory expectations.
  • Solid technical aptitude to identify, analyze, and present data critical to loss control and risk-management activities.
  • Highly motivated self-starter with a strong work ethic; capable of working independently with minimal supervision while maintaining accountability and results.

Education & Experience
  • College degree or equivalent combination of experience, skills, education (including other relevant non-traditional degree programs, certifications, or job training programs) preferred.
  • Minimum 2 years' experience in safety and health.
  • Proficiency with Microsoft Office software (Outlook, Microsoft Teams, Excel, Word, PowerPoint) and demonstrated ability to learn other applications as needed.
  • This role requires a valid, non-restrictive driver's license as it involves regular travel to client sites and company locations.

Required Licenses and/or Certifications
  • OSHA 510 / 511 and a university designated safety certificate or equivalent work experience as deemed by the SVP of Loss Control.

Physical, Mental, & Communication Demands
Physical Demands:
  • Sedentary Work: Occasionally involves sitting for extended periods, often at a desk or computer.
  • Manual Dexterity: Frequent use of hands and fingers to operate a computer keyboard, mouse, and other office equipment.
  • Mobility: Frequent travel to meet with clients, attend conferences, and conduct other business needs. Occasionally walking or traversing throughout the office to meet with leaders and other employees or offsite locations to meet with clients.
  • Visual Acuity: Ability to read and analyze data on a computer screen (or to read and analyze data with reasonable accommodation) and in printed materials.
  • Lifting & Carrying: Minimal physical lifting required, but may involve handling documents, and lifting light office supplies

Mental Demands:
  • Strategic Thinking: High level of concentration required to develop and implement strategies.
  • Decision Making: Ability to make quick, informed decisions based on data and market conditions.
  • Attention to Detail: High level of accuracy needed for managing client presentations, reports and communications.
  • Problem-Solving: Continuous need to identify and resolve issues that may impact performance.
  • Multitasking: Manage multiple tasks and projects simultaneously, often under tight deadlines.
  • Stress Management: Ability to handle high-pressure situations calmly and effectively, especially when dealing with client concerns.

Communication Demands:
  • Interpersonal Skills: Strong ability to build relationships and communicate effectively with employees, managers, clients and external vendors.
  • Cultural Sensitivity: Communicate with individuals from diverse cultural backgrounds, demonstrating cultural awareness and sensitivity.
  • Written Communication: Prepare clear and concise documentation, including emails and notes.
  • Verbal Communication: Conduct presentations and employee training sessions; provide clear instructions and support to clients, employees and managers.
  • Presentation Skills: Proficiency in presenting strategies and performance reports to executive leadership and stakeholders.

Environmental Conditions
  • The primary work environment is a professional indoor office setting, utilizing standard office equipment such as computers, monitors, printers, telephones, and conferencing technology.
  • Office environments typically involve moderate noise levels associated with normal business activities, office equipment, and occasional meetings.
  • The role requires frequent domestic travel to client visits, conferences, training sessions, and strategic planning events.
  • While traveling or attending client or company locations, the employee may be present in a variety of environments, including: Corporate offices • Conference centers and training facilities • Client sites across diverse industries such as manufacturing, warehousing, construction, healthcare, or service environments
  • Client site visits may expose the employee to varying environmental conditions, including: • Increased noise levels from equipment or machinery • Temperature variations, including non-climate-controlled areas • Dust, odors, or airborne particulates • Moving machinery, vehicles, or equipment • Uneven walking surfaces, stairs, or elevated areas
  • When required to enter operational or industrial environments, the employee may be expected to wear appropriate personal protective equipment (PPE) such as safety glasses, hard hats, hearing protection, steel toe footwear, or high visibility apparel.
  • Travel may involve exposure to public environments such as airports, hotels, transportation hubs, and event venues.

DisclaimerThis job description in no way states or implies that these are the only duties to be performed by the employee filling this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by management. Management has the right to add to, revise, or delete information in this job description. Reasonable accommodation will be made to enable qualified individuals with disabilities to perform the essential functions of this position. This document does not create an employment contract, implied or otherwise. Employment remains "at will".
This position is eligible for the following benefits:
  • Health Insurance: Medical, dental, and vision coverage
  • Retirement Plan: 401(k) with company match
  • Paid Time Off: PTO, Holidays, Parental leave and Sick Leave provided as required by applicable state law
  • Other Benefits: Life insurance, short term disability, long term disability, employee assistance program (EAP), flexible spending account (FSA), health savings account (HSA), Identity theft protection, critical illness, accident, cancer, hospital protection

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