Senior Consultant, Stop Loss

Role Description

The Senior Stop Loss Consultant is a subject-matter expert responsible for leading complex stop-loss engagements, including renewals, marketings, claims oversight, and strategic advisory support for self-funded employer clients. This role serves as a primary client-facing consultant and internal escalation point, providing technical expertise, carrier and contract strategy guidance, and mentorship to junior consultants.

Essential Duties and Responsibilities

• Client Advisory & Strategy
  • Serve as the lead stop-loss advisor on complex client relationships.
  • Advise on stop-loss program design including deductibles, lasers, aggregations, and contracts.
  • Translate claims and renewal data into actionable client recommendations.
• Renewals & Marketings
  • Lead end-to-end stop-loss renewals and marketings.
  • Review and compare carrier proposals.
  • Negotiate pricing and terms with carriers.
• Claims Oversight
  • Provide oversight of high-dollar stop-loss claims.
  • Coordinate reimbursements with TPAs and carriers.
  • Identify reimbursement and contract risk issues.
• Internal Leadership
  • Mentor and train junior consultants.
  • Serve as escalation expert on technical stop-loss matters.

Qualifications

• 5+ years of stop-loss consulting experience.
• Deep knowledge of stop-loss contracts and underwriting.
• Strong analytical and communication skills.

Requirements

• Experience with large self-funded employers.
• Prior mentorship or leadership experience.

Benefits

• Competitive salary.
• PTO & paid holidays.
• 401(k) with match.
• Exclusive discount programs.
• Health & wellness programs.
• Performance-based incentives.