Stop Loss Operations Analyst

Vālenz® Health

. Manage financial and administrative operations supporting the stop loss program .

Posted 11/9/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing financial and administrative operations within insurance, particularly in premium administration and policy management. Proficient in reconciliation, compliance, and operational reporting, with a strong focus on accuracy and efficiency.

Highest-signal resume keywords

Financial Operations ManagementPremium AdministrationReconciliation SkillsPolicy AdministrationInsurance Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

ReconciliationPremium AdministrationPolicy ManagementFinancial ReportingAnalytical SkillsOperational WorkflowsAudit PreparationDocumentation ManagementSelf-Funded Medical PlansEmployer Stop Loss Terminology

Soft Skills

Attention to DetailOrganizational SkillsTime ManagementEffective CommunicationCollaboration

Tools & Technologies

Microsoft OfficeExcelWordReporting PlatformsUnderwriting Platforms

Industry Keywords

Insurance OperationsPolicy IssuanceCarrier AppointmentsDue DiligenceHIPAA Compliance

About the role

Key responsibilities & impact

Manage financial and administrative operations supporting the stop loss program
Administer premium receipts, lockbox and ACH activity, and apply premiums to applicable groups and policies
Reconcile enrollment, expected premium, and received premium
Resolve shortages, overpayments, unapplied cash, delinquent premium, and other exceptions
Coordinate return premium, commission and override payments, claim payment activity, and other financial transactions with Finance and Accounts Payable
Perform monthly premium reconciliations and support month-end close, bordereaux, carrier reporting, and program financial reporting
Manage policy administration after final underwriting approval, including sold-case requirements, policy and form selection, preparation, amendments, endorsements, and outstanding-item tracking
Review policy materials against approved underwriting terms and escalate discrepancies before issuance
Coordinate policy issuance activities performed by Stop Loss Specialists
Maintain procedures, quality controls, status reporting, reconciliations, exception reporting, controls, and audit evidence
Administer agency and producer licensing, carrier appointments, renewals, state-specific requirements, regulatory correspondence, and related documentation
Maintain TPA and producer due diligence documentation and support approval processes
Support carrier, financial, and internal audits and resolve identified exceptions
Develop operational reporting and identify opportunities to improve accuracy, efficiency, transparency, controls, and cross-training
Coordinate workflows across Stop Loss Specialists and internal partners
Escalate material underwriting, financial, contractual, or compliance matters to leadership
Recommend process, control, and system improvements
Perform other duties as assigned

Requirements

What you’ll need

3+ years of experience in insurance operations, premium administration, accounting or reconciliation, policy administration, or a related field
Working knowledge of self-funded medical plans, employer stop loss terminology, insurance contracts, and operational workflows
Strong reconciliation and analytical skills across premium, enrollment, policy, and financial data
Ability to interpret policy and underwriting terms and identify discrepancies requiring review
Experience managing financial or administrative processes with defined controls, deadlines, and documentation requirements
Strong attention to detail and ability to maintain accurate, complete, audit-ready records
Strong organizational and time-management skills
Effective written and verbal communication skills and ability to collaborate with carriers, TPAs, producers, Finance, Underwriting, Claims, and internal partners
Proficiency with Microsoft Office, including Excel and Word
Ability to learn stop loss administration, underwriting, and reporting platforms
Ability to independently manage assigned operational processes and escalate material exceptions appropriately
Must be US based and work in compliance with company policies such as HIPAA
Reliable internet connection
Ability to adhere to security protocols, including VPNs, secure passwords, and company-approved devices/software
Bachelor's degree in Accounting, Finance, Business, Insurance, or a related field is a plus
Experience with employer stop loss, self-funded medical plans, premium administration, or policy issuance is a plus
Experience with carrier bordereaux, month-end reconciliation, insurance financial reporting, licensing, carrier appointments, producer records, policy preparation, endorsements, amendments, due diligence, audits, or relevant platforms is a plus

Benefits

Comp & perks

Generous compensation commensurate with experience and performance
Competitive benefits package with generous employer subsidies
Flexible and remote working options
401k with generous employer match and immediate vesting
Personal and professional development opportunities
Supportive family benefits, including paid leave for new family members
Companywide philanthropic program, Valenz Communities Connection
Necessary equipment provided
Medical, Dental, and Vision insurance
HSA, FSA, and DCFSA spending account options
Flexible working environment
Generous Paid Time Off, including vacation, sick leave, and paid holidays
Employee Assistance Program with professional counseling, referrals, and additional services
Paid maternity and paternity leave
Pet insurance
Employee discounts on phone plans, car rentals and computers
Community giveback opportunities, including paid time off for philanthropic endeavors