Crum & Forster

Underwriter

• Using and booking of policies and endorsements.
• Performing all pre-quote work required by underwriting.
• Supporting various underwriting processes and communication with agents.
• Working side by side with underwriters to maintain growth and profitability.
• Completing various administrative tasks including risk assessment and policy management.

Underwriting Assistant, Custom Property

Claims Specialist

• Accountable for the full handling and control of all claim matters assigned from inception to resolution including: timely coverage analysis and letter writing; investigation; incident response, evaluation; reserve adequacy and timeliness; diary maintenance; management of defense and coverage counsel; reinsurance reporting; and claim disposition.
• The handling of these claims may require the occasional in-person attendance at mediations, settlement conferences and trials nationwide.
• Consistent prompt evaluation of potential exposure present as to all claims assigned as well as an ability to adapt to changing circumstances as claims develop.
• An ability to segregate potentially significant claims possessing considerable exposure from straightforward claims.
• Ability to consider and formulate a possible resolution strategy at the earliest possible opportunity, including setting appropriate and timely reserves and communicating with defense counsel, insureds, coverage counsel or others to successfully achieve such strategy.
• Claim presentations, both written and oral, will be required on a regular and timely basis to bring management up to speed, obtain authority and/or formulate appropriate action plans on claims that present the risk for considerable exposure.
• Superior customer service to all co-employees, agents, policyholders and others encountered during the claims handling process is expected.
• When needed, the Executive Specialist is expected to market claim services, update underwriting department personnel on claims trends, and coordinate and participate in presentations to industry personnel, including brokers and insureds.

Executive Specialist, Claims

Manager

• Supervise a unit comprised of Claim Specialists that handle claims
• Monitor claims trends and report on identified trends to department leadership.
• Ensure claims handling is consistent with Crum & Forster’s best practices.
• Work with various departments to address claims cost impacts.
• Provide technical support to the claims specialists.
• Review legal decisions and maintain an efficient claims staff.
• Identify coverage issues and approve case reserve recommendations.
• Recruit and mentor staff, ensuring alignment with department objectives.
• Meet with customers to discuss claims capabilities.

Manager, Workers Compensation Claims

Human Resources

• Examines claims data and conducts investigations into routine and moderately complex claims
• Determines coverage, compensability, subrogation and benefits under moderate supervisory direction
• Adjusts and manages claims within the limit of assigned authority
• Verifies and determines applicability of coverage
• Initiates 24-hour contact with employer, employee and 48-hour contact with attending physician
• Conducts telephone investigations as required by company claims handling manual
• Evaluates and adjusts claims within authority limits
• Consults with Claim Manager when needed
• Makes assignments to nurse case management when indicated
• Sets reserves for anticipated exposure up to authority limits
• Reviews medical bills for causal relationship and approves payments

Senior Claims Specialist, Workers Compensation

General

• Responsible for risk selection/rejection, pricing, retention, growth, and profitability within scope of authority and per divisional objectives
• Receives and analyzes submissions, assesses risk quality and determines terms in accordance with company guidelines
• Applies underwriting rules and guidelines, rating manual rules, and insurance laws and regulations
• Makes recommendations on risks over authority
• Enters, maintains and monitors accounts using underwriting, analysis, and desktop systems
• Uses independent judgment and initiative to support business goals
• Prepares effective internal and external communications on underwriting issues
• Develops a book of commercial surety business with select brokers/agents and maintains effective business relationships with external customers in order to attract and retain profitable business
• Visits producers and principals in order to retain existing accounts, survey exposures, build and maintain business relationships, and develop new opportunities in support of divisional objectives

Senior Underwriter – Commercial Surety

Operations

• Prepare all deposited checks for entry into the accounting system
• Process premium refunds, claims refund deposits, and commission refunds/payments
• Run and maintain monthly claims and commission registers
• Process claims and commission checks/ACHs and ensure accurate tracking of outstanding items
• Respond to internal and external inquiries regarding commissions, claims, and other outgoing premium items
• Support new business onboarding for producers/brokers, including OFAC reporting
• Maintain premium journal notes and client contact cheat sheets
• Assist with reconciliation research as needed
• Support the Lead with workflow execution during peak periods or complex cases
• Other duties as assigned

Operations Associate, Medical Stop Loss

Account Executive

• Assist with the implementation of new and renewal sold cases; work with Account Management to ensure all items needed to implement a case are received in a timely manner
• Work with Account Managers to ensure all policy documents are complient and provide policy level
• Coordinate heavily with Account Managers and Sales team to ensure proper set up and contact management
• Aid in completion of producer RFIs and work with other departments to help complete the RFI
• Obtain an in-depth knowledge of department products and services, as well as clearly articulate the department’s value proposition
• Communicate with external producers to coordinate receipt of any missing RFP elements
• Create shell in underwriting system and populate RFP data accordingly
• Participate in training and initiatives, and projects when required
• Other duties as assigned

Account Associate, C&F Stop Loss

• Deposit premium, claims, and commission checks, ensuring accurate logging and timely processing
• Create, maintain, and organize monthly premium folders, receipt logs, and documentation needed for audit readiness
• Track and close open claim tasks by reviewing updates, following up on outstanding items, and ensuring proper documentation
• Monitor overflow email inboxes, sort and route correspondence, and assist the team in prioritizing actionable items
• Route premium tasks and research items to the appropriate Specialist or Lead to maintain efficient workflow
• Support compliance and recordkeeping efforts through accurate filing, secure handling of documents, and shredding outdated check records
• Enter AP invoices and request W9s as needed to support vendor setup and payment processes
• Mail commission and claim checks and maintain corresponding ESL notes for accurate tracking
• Provide foundational administrative support to the Premium Operations team, enabling smooth workflow and process coordination
• Other duties as assigned

Operations Coordinator, Medical Stop Loss

Actuary

• Leads process improvement and leverage technology solutions
• Work collaboratively with business and shared service leaders to support all actuarial aspects
• Set the mid to long term strategy for the broader Actuarial group
• Maintain a motivated, productive and competent team through open communication and delegation
• Create and maintain profitability analyses and reviews for all product lines
• Develop rating support and memorandums for submission to state Department of Insurance
• Analyze and review industry manuals
• Prepare recommendations for reserve changes

VP, Actuary – A&H

Analyst

• Analyze reconcile, and triage data received from select partners to permitted parameters
• Compile data and analyze for submission to States to satisfy regulatory reporting requirements
• Lead the annual MCAS (Market Conduct Annual Statement) process in compiling internal & external data
• Decompose high-level business and user requirements into functional requirements
• Participate in peer reviews of work products to ensure that requirements were interpreted correctly
• Reduce or eliminate process redundancies and inefficiencies
• Perform special projects and assignments under the direction of senior personnel

Reporting, Data Call Analyst

Sales

• Manage national CFSL Sales team, drive and role model the A&H culture
• Develop and coordinate annual business plans for CFSL Sales regions
• Establish understanding of CFSL's ESL products and services
• Support sales team in strengthening C&F relationship with producers
• Coordinate with underwriting leadership to improve underperforming producers
• Ensure flow of communication and workflow alignment between teams
• Identify customer needs and design innovative solutions
• Create sales strategies to develop new production sources
• Coordinate C&F representation at industry events
• Lead CFSL sales team participation in meetings
• Ensure sales feedback and tools are current and complete
• Maintain awareness of market trends and emerging threats
• Participate in continued education

VP Sales, C&F Stop Loss

Business Analyst

• Participate in meetings with business stakeholders to identify goals and system requirements.
• Collaborate with business and IT stakeholders in planning, design, and deployment of applications.
• Facilitate design sessions to prototype new systems.
• Review effectiveness of user experience for existing systems and develop improvement strategies.
• Conduct analysis to suggest alternatives for existing operating systems and processes.
• Collaborate with project team to establish project timeline and delivery milestones.
• Coordinate testing of application systems and provide documentation for end users.

Senior Business Analyst, P&C Insurance

Product Manager

• Represent the voice of the stakeholder/product team and clearly articulate the problem to be solved or the opportunity to be captured.
• Foster strong relationships with stakeholders to anticipate future needs/opportunities and translate stakeholder goals into actionable digital initiatives.
• Contribute to the vision for the product by collaborating with stakeholders to define and refine the product roadmap.
• Own and maintain the product backlog, ensuring alignment with business priorities and strategic objectives.
• Lead or facilitate design and discovery sessions to prototype solutions and gather feedback.
• Establish and manage scope and parameters of the product to define predictable outcomes and action plans.
• Review the effectiveness and efficiency of the user experience for the product and develop strategies for improvement.
• Prioritize and manage backlog items to ensure timely and high-quality delivery.
• Collaborate with cross-functional teams to ensure requirements clarity, solution alignment, and testing readiness.
• Write clear and concise user stories with well-defined acceptance criteria.
• Provide product demonstrations to business stakeholders.

Product Owner, P&C Insurance

Accountant

• Responsible for the premium accounting and bordereaux reporting function of key stop loss program
• Interact with internal teammates and external partners to ensure alignment on Stop Loss accounting issues
• Drive operational efficiency initiatives that improve profitability and customer experience
• Lead practice of continual process improvement and identify opportunities to outsource/automate repetitive functions
• Research and resolve complex reconciliation issues and discrepancies

Senior Premium Accountant, C&F Stop Loss

Customer Support

• Provide exceptional customer service regarding travel products and services; including, promptly responding to email and telephone requests for policy adjustments, questions on coverage and technology platforms
• Prepare and host Trainings on both product information and technology platforms: create and record trainings for distribution and/or posting on the Advisor Dashboard; edit existing training(s), incorporates feedback gathered from participants/partners to improve training, processes, and products
• Keeps up to date on Presentation Technology and trends. Ensure clear communication throughout the conceptualization and implementation of training
• Process Partnership Agreements, including opening and closing accounts, address changes, changes in commission structure, etc.
• Assist Account Managers to ensure accurate information is housed in Salesforce.com, including but not limited to, existing customer profiles, complete prospect and suspect information, project identifications with timelines and competitive products installed
• Adherence to Case Management process, including the input or review of cases reported by account managers/accounts for exception requests/changes to ensure completion and assign to appropriate person for resolution; refer high profile cases through the Case Management process to the Senior Account Administrators for immediate processing
• Leadership of the initiative for our Agent Engagement - Social Media
• Identify any Operational issues and escalate, including working with QA to resolve issues
• Manage the Advisor Compensation program with our Finance Team: research and provide feedback on commission
• Perform various Administrative duties for the Sales and Account Management Team
• Provide licensing and compliance support