Claims Support Specialist, Stop Loss

Crum & Forster•Phoenix, AZ

22h•$34,800 - $51,000•Remote

About The Position

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. 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. 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. 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. 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. Strong preference for the candidate to be located in the Phoenix metro area, but open to remote for the right candidate. We are hiring for two positions on this team.

Requirements

High school diploma required; Associate degree preferred
3+ years’ office experience required; medical claims experience preferred
Strong working knowledge of Microsoft Office suite with an aptitude to learn new programs (DY/ESL Office experience preferred)
Strong organizational skills with high attention to detail
Commitment to delivering outstanding customer service and satisfaction
Effective time management and prioritization
Professional accountability
Clear written and verbal communication skills

Responsibilities

Enter claim submissions into the claims management system
Monitor and manage claim and notice inboxes
Upload and flag supporting documentation for review by the Claims Examiner team
Enter various types of claim notices (50%, trigger, case management) into the claim system
Identify complex and/or catastrophic claim notices and escalate to leadership as necessary
Refer relevant cases to the Cost Containment team
Maintain thorough reporting and open communication with Supervisor regarding assigned areas of responsibility
Create a working environment where productivity can be sustained and accomplished, and where innovation and personal growth is encouraged and realized
Drive and role model the A&H culture, values and C&F core competencies
Other duties as assigned

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. Our programs are focused on your whole family’s wellness, including your physical, mental and financial wellbeing
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
A dynamic, ambitious, fun and exciting work environment
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
At C&F you will BELONG

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