Claims Support Specialist, Stop Loss jobs in United States
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Crum & Forster · 3 hours ago

Claims Support Specialist, Stop Loss

Crum & Forster is a well-established insurance provider with a strong focus on customer service and employee satisfaction. The Claims Support Specialist role involves coordinating claims intake, assisting the claims team, and ensuring compliance while maintaining high customer service standards.

Commercial InsuranceHealth CareInsuranceRisk Management
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Growth Opportunities

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

Qualification

Claims management systemMedical claims experienceMicrosoft Office suiteOrganizational skillsCustomer serviceTime managementClear communication

Required

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

Preferred

Strong preference for the candidate to be located in the Phoenix metro area, but open to remote for the right candidate

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

Company

Crum & Forster

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Crum & Forster specializes in commercial insurance, claims, risk assessments as well as accident and health insurance.

Funding

Current Stage
Late Stage

Leadership Team

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David Thomas
Senior Vice President - Head of Surety Claims
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David Webb
Senior Vice President, C&F Stop Loss
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Company data provided by crunchbase