Claims Program Manager

🔥 11 minutes ago

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

💵 $61.6k - $115.7k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Program Manager

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Crum & Forster

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🛡️ Insurance

⚕️ Healthcare Insurance

Insurance • Healthcare Insurance

Crum & Forster (C&F) is a leading national property & casualty insurance company with a large, diversified specialty platform. Established in 1822, C&F provides specialty and standard commercial lines insurance products through its admitted and surplus lines insurance companies. With a written premium of $5. 3 billion as of 2023, C&F has an A. M. Best financial strength rating of “A” (Excellent). The company prides itself on creative, flexible, and client-focused solutions, recognized for superior customer service, claims, and risk engineering services. C&F employs over 2000 people across the United States and has earned several workplace awards for its employee-first focus and commitment to diversity, equity, and inclusion. C&F is part of Fairfax Financial Holdings Limited, engaged in property and casualty insurance and reinsurance.

📋 Description

• Proactively manage a team of Specialists overseeing a portfolio of claim clients, including Third Party Administrators and Managing General Underwriters • Perform oversight and enhance client relationships by identifying and resolving process issues • Interact with Underwriting, Actuarial, Compliance, IT, and external business partners • Schedule, coordinate, and monitor annual audits as Audit Coordinator • Conduct first-level reviews of required reports prepared by Program Management Team members • Oversee Program Team member functions and support relationship-based client management • Liaise with administrative, operations, and underwriting areas • Address issues with distressed customers professionally • Participate in client meetings and resolve open issues at least monthly • Coordinate technical issue resolution with IT • Assist with onboarding new clients • Conduct due diligence and onsite reviews of prospective program administrators • Perform annual administrator reviews and identify compliance or process gaps • Monitor claims activity quarterly to identify outliers • Identify processing, system, and operational issues affecting claims payments • Prepare monthly reporting packages and analyze claims litigation, regulatory inquiries, referrals, trends, and exposures • Refer small claims litigation to Legal and coordinate attorney correspondence • Assist Compliance with claims-related regulatory inquiries • Draft, review, and update Claims Best Practices, standards, procedures, and workflows • Oversee review of TPA Best Practices and compliance with applicable state unfair claims practices laws • Develop Program Management Team product knowledge and broader claims-management capabilities • Use real-world situations as team education and development tools • Perform other duties as assigned

🎯 Requirements

• Bachelor’s Degree from an accredited university/institution or equivalent experience • 6+ years of relevant Special Risk, Travel, and Travel Medical experience • Strong PC skills including Excel, Word, Outlook, and PowerPoint • Experience in specialty products such as Employer Stop Loss, Travel, Short Term Medical, Medical Travel, Workers Compensation and/or Occupational Accident is preferred • Ability to travel (20%) • Ability to establish strong rapport with customers and team members • Demonstrated high level of service delivery focused on customer satisfaction and issue resolution • Strong analytical and problem-solving skills • Excellent attention to detail and organizational skills • Ability to work independently and collaboratively within a team • Excellent written and verbal communication skills • Commitment to personal accountability and continuous improvement

🏖️ Benefits

• Competitive compensation package • Generous 401K employer match • Employee Stock Purchase plan with employer matching • Generous Paid Time Off • Health, dental and vision benefits • Whole-family wellness programs focused on physical, mental and financial wellbeing • Tuition reimbursement • Industry-related certifications • Professional training • Dynamic, ambitious, fun and exciting work environment • Matching donation program • Volunteer opportunities • Employee-driven corporate giving program • Equal employment opportunity and inclusivity initiatives

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