Claims Support Specialist, Medical Stop Loss - Hybrid

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    "url": "https://careers-cfins.icims.com/jobs/4759/claims-support-specialist%2c-medical-stop-loss---hybrid/job",
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    "title": "Claims Support Specialist, Medical Stop Loss - Hybrid",
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    "datePosted": "2024-06-22T08:13:55.383Z",
    "description": "<h2>Crum & Forster Company Overview</h2>\n<p>Crum & Forster (C&F), with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of \"A+\" (Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry. </p>\n<p> </p>\n<p>Our most valuable asset is our people: more than 2000 employees in locations throughout the United States. The company is increasingly winning recognition as a great place to work, earning several workplace and wellness awards, including the 2025 Great Place to Work® Award for our employee-first focus and our steadfast commitment to diversity, equity and Inclusion. </p>\n<p> </p>\n<p>C&F is part of Fairfax Financial Holdings, a global, billion dollar organization.  For more information about Crum & Forster, please visit our website: www.cfins.com.</p>\n<h2>Job Description</h2>\n<p>Since 2000, Crum & Forster’s Accident & Health division (A&H) has offered a diverse portfolio of specialty insurance and reinsurance products nationwide. We place a strong focus on product development and creative distribution methods, along with excellent client service and support.</p>\n<p> </p>\n<p>In addition to our robust domestic portfolio, which spans both special risk and medical solutions, A&H works on an international basis through various partnerships. Our global capabilities provide our partners with even broader flexibility in underwriting solutions. </p>\n<p> </p>\n<p>The qualities and capabilities of A&H demonstrate our philosophy of building meaningful, long-term partnerships and our dedication to providing alternative strategies in an ever-changing insurance market.</p>\n<p> </p>\n<p>The A&H MBU takes a full-spectrum approach to designing and servicing a robust slate of products tailored to needs in Employer Stop Loss, Excess Medical, Life, and Ancillary and Supplemental benefits. Our diversified business model includes program partnerships as well as direct sales in Employer Stop Loss. At year-end 2024, the MBU recorded $746M in gross premium written.</p>\n<p><strong> </strong></p>\n<p><strong>Information about the Role, Line of Business and Team: </strong></p>\n<p>The role of Claims Support Specialist is a unique opportunity to work with a high-quality team of leaders and benefit from the security and stability of a large organization while maintaining a nimble and responsive approach to business.  The successful candidate will be responsible for coordinating claims intake, assisting the claims team, maintaining high customer service standards, and ensuring compliance. This role is instrumental in supporting effective claims handling.</p>\n<p> </p>\n<p><strong>This role is hybrid for our Scottsdale, AZ location.</strong></p>\n<p> </p>\n<p>What you will do for C&F:</p>\n<ul>\n <li>Enter claim submissions into the claims management system </li>\n <li>Monitor and manage claim and notice inboxes </li>\n <li>Upload and flag supporting documentation for review by the Claims Examiner team</li>\n <li>Enter various types of claim notices (50%, trigger, case management) into the claim system </li>\n <li>Identify complex and/or catastrophic claim notices and escalate to leadership as necessary</li>\n <li>Refer relevant cases to the Cost Containment team</li>\n <li>Maintain thorough reporting and open communication with Supervisor regarding assigned areas of responsibility</li>\n <li>Create a working environment where productivity can be sustained and accomplished, and where innovation and personal growth is encouraged and realized</li>\n <li>Drive and role model the A&H culture, values and C&F core competencies </li>\n <li>Other duties as assigned</li>\n</ul>\n<p> </p>\n<p>What you will bring to C&F:</p>\n<p> </p>\n<ul>\n <li>High school diploma required; Associate degree preferred</li>\n <li>3+ years’ office experience required; medical claims experience preferred </li>\n <li>Strong working knowledge of Microsoft Office suite with an aptitude to learn new programs (DY/ESL Office experience preferred) </li>\n <li>Strong organizational skills with high attention to detail</li>\n <li>Commitment to delivering outstanding customer service and satisfaction</li>\n <li>Effective time management and prioritization </li>\n <li>Professional accountability</li>\n <li>Clear written and verbal communication skills</li>\n</ul>\n<p> </p>\n<h2>What C&F will bring to you</h2>\n<ul>\n <li>Competitive compensation package</li>\n <li>Generous 401K employer match</li>\n <li>Employee Stock Purchase plan with employer matching</li>\n <li>Generous Paid Time Off</li>\n <li>Excellent benefits that go beyond health, dental & vision. Our programs are focused on your whole family’s wellness, including your physical, mental and financial wellbeing</li>\n <li>A core C&F tenet is owning your career development, so we provide a wealth of ways for you to keep learning, including tuition reimbursement, industry-related certifications and professional training to keep you progressing on your chosen path</li>\n <li>A dynamic, ambitious, fun and exciting work environment</li>\n <li>We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community</li>\n</ul>\n<p> </p>\n<p> </p>\n<p>At C&F you will BELONG</p>\n<p> </p>\n<p>If you require special accommodations, please let us know. We value inclusivity and diversity. We are committed to equal employment opportunity and welcome everyone regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. If you require special accommodations, please let us know</p>\n<p> </p>\n<p> For California Residents Only:  Information collected and processed as part of your career profile and any job applications you choose to submit are subject to our privacy notices and policies, visit https://www.cfins.com/onlineprivacypolicy/ca/noticeatcollection/  for more information.</p>\n<p> </p>\n<p>Crum & Forster is committed to ensuring a workplace free from discriminatory pay disparities and complying with applicable pay equity laws.  Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions. The annualized base pay for the advertised position, located in the specified area, ranges from a minimum of $34,800.00 to a maximum of $51,000.00. The actual compensation is determined by various factors, including but not limited to the market pay for the jobs at each level, the responsibilities and skills required for each job, and the employee’s contribution (performance) in that role. To be considered within market range, a salary is at or above the minimum of the range. You may also have the opportunity to participate in discretionary equity (stock) based compensation and/or performance-based variable pay programs.</p>\n<p> </p>\n<p>#LI-AV1</p>\n<p>#LI-Remote</p>",
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    "responsibilities": "Since 2000, Crum & Forster’s Accident & Health division (A&H) has offered a diverse portfolio of specialty insurance and reinsurance products nationwide. We place a strong focus on product development and creative distribution methods, along with excellent client service and support.\r\n \r\nIn addition to our robust domestic portfolio, which spans both special risk and medical solutions, A&H works on an international basis through various partnerships. Our global capabilities provide our partners with even broader flexibility in underwriting solutions. \r\n \r\nThe qualities and capabilities of A&H demonstrate our philosophy of building meaningful, long-term partnerships and our dedication to providing alternative strategies in an ever-changing insurance market.\r\n \r\nThe A&H MBU takes a full-spectrum approach to designing and servicing a robust slate of products tailored to needs in Employer Stop Loss, Excess Medical, Life, and Ancillary and Supplemental benefits. Our diversified business model includes program partnerships as well as direct sales in Employer Stop Loss. At year-end 2024, the MBU recorded $746M in gross premium written.\r\n \r\nInformation about the Role, Line of Business and Team: \r\nThe role of Claims Support Specialist is a unique opportunity to work with a high-quality team of leaders and benefit from the security and stability of a large organization while maintaining a nimble and responsive approach to business.  The successful candidate will be responsible for coordinating claims intake, assisting the claims team, maintaining high customer service standards, and ensuring compliance. This role is instrumental in supporting effective claims handling.\r\n \r\nThis role is hybrid for our Scottsdale, AZ location.\r\n \r\nWhat you will do for C&F:\r\n- Enter claim submissions into the claims management system \r\n- Monitor and manage claim and notice inboxes \r\n- Upload and flag supporting documentation for review by the Claims Examiner team\r\n- Enter various types of claim notices (50%, trigger, case management) into the claim system \r\n- Identify complex and/or catastrophic claim notices and escalate to leadership as necessary\r\n- Refer relevant cases to the Cost Containment team\r\n- Maintain thorough reporting and open communication with Supervisor regarding assigned areas of responsibility\r\n- Create a working environment where productivity can be sustained and accomplished, and where innovation and personal growth is encouraged and realized\r\n- Drive and role model the A&H culture, values and C&F core competencies \r\n- Other duties as assigned\r\n \r\nWhat you will bring to C&F:\r\n \r\n- High school diploma required; Associate degree preferred\r\n- 3+ years’ office experience required; medical claims experience preferred \r\n- Strong working knowledge of Microsoft Office suite with an aptitude to learn new programs (DY/ESL Office experience preferred) \r\n- Strong organizational skills with high attention to detail\r\n- Commitment to delivering outstanding customer service and satisfaction\r\n- Effective time management and prioritization \r\n- Professional accountability\r\n- Clear written and verbal communication skills\r\n ",
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