Crum & Forster logo
Crum & Forster

Crum & Forster, part of Fairfax Financial Holdings Limited, is an admitted property and casualty insurance company that's been A-rated by A.M. Best. As an emplo

Clinical Risk Manager, Medical Underwriting, C&F Stop Loss

UnderwriterUnderwriterFull TimeRemoteSeniorCompany Site

Location

New Jersey

Posted

5 days ago

Salary

$67.9K - $127.6K / year

Seniority

Senior

Bachelor Degree6 yrs expEnglish

Job Description

• Review and analyze all data and documentation within existing systems and that provided by Underwriting • Identify clinical factors that may impact underwriting outcomes or financial exposure • Support the development and implementation of clinical risk management strategies • Triage and prioritize requests for medical underwriting review • Act as a strategic partner to underwriting • Develop, maintain, and manage strong relationships with internal and external clients • Ensure accurate entry, validation, and analysis of medical underwriting data • Maintain clear records to support transparency and defensibility of underwriting decisions • Stay informed on emerging therapies, technologies, and medical conditions • Explore new methods and processes to increase efficiency

Job Requirements

  • 6-10 years clinical experience with a current unrestricted licensure as a health professional (Registered Nurse)
  • 6+ years of reinsurance or insurance industry experience required
  • Bachelor’s degree from an accredited university or equivalent experience required
  • Strong PC skills including Excel, Word, Outlook
  • Group medical, managed care, health insurance, stop loss or reinsurance experience required
  • Strong knowledge of disease processes and treatment plans

Benefits

  • Competitive compensation package
  • Generous 401K employer match
  • Employee Stock Purchase plan with employer matching
  • Generous Paid Time Off
  • Excellent benefits that go beyond health, dental & vision.
  • Programs focused on whole family’s wellness, including physical, mental and financial wellbeing
  • Opportunities for tuition reimbursement, industry-related certifications and professional training
  • Dynamic, ambitious, fun and exciting work environment
  • Spirit of social and community responsibility, matching donation program, volunteer opportunities, and corporate giving program

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