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Work From Home Stop Loss Rn Jobs in Madison, WI (NOW HIRING)

The Semler Agency

Work From Home Sales

Madison, WI · On-site +1

This role is designed for individuals looking to learn a new skill and work from home with support. Responsibilities: * Connect with individuals requesting information * Provide guidance on coverage ...

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All JobsStop Loss Rn JobsWork From Home Stop Loss Rn JobsWork From Home Stop Loss Rn Jobs in Madison, WI

Work From Home Stop Loss Rn information

See Madison, WI salary details

$68.5K

$115.2K

$207.6K

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 Madison, WI is $115,246.00, according to ZipRecruiter salary data. Most workers in this role earn between $99,300.00 and $127,500.00 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.
What are popular job titles related to Work From Home Stop Loss Rn jobs in Madison, WI? For Work From Home Stop Loss Rn jobs in Madison, WI, the most frequently searched job titles are:
What job categories do people searching Work From Home Stop Loss Rn jobs in Madison, WI look for? The top searched job categories for Work From Home Stop Loss Rn jobs in Madison, WI are:
What cities near Madison, WI are hiring for Work From Home Stop Loss Rn jobs? Cities near Madison, WI with the most Work From Home Stop Loss Rn job openings:
Work From Home Stop Loss Rn jobs near you
Infographic showing various Work From Home Stop Loss Rn job openings in Madison, WI 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 $115,246 per year, or $55.4 per hour.

Work From Home Sales

The Semler Agency

Madison, WI • On-site, Remote

Part-time

Posted 8 days ago

Job description

We are currently hiring for a remote sales position with a structured training program.
This role is designed for individuals looking to learn a new skill and work from home with support.
Responsibilities:
  • Connect with individuals requesting information
  • Provide guidance on coverage options
  • Follow a simple, structured process
What You'll Get:
  • Guided training program
  • Support from experienced mentors
  • Flexible scheduling
  • Performance-based income

No experience required - we will teach you everything you need to know.
After applying, you will receive an email with next steps to schedule a quick overview call. Please keep an eye out for a text from Terra after applying.
*NOTE: Equal opportunity, not equal outcome. No agent's success, earnings, or production results should be viewed as typical, average or expected. Not all agents achieve the same or similar results, and no particular results are guaranteed. Your level of success will be determined by several factors, including the amount of work you put in, your ability to successfully follow and implement our training and sales system and engage with our lead system, and the Insurance needs of the customers in the geographic areas in which you choose to work.

Apply