Crum & Forster

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

Crum & Forster

full-time

Posted on:

Location Type: Remote

Location: New Jersey • United States

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Salary

💰 $67,900 - $127,600 per year

About the role

  • 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

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
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
clinical risk managementdata analysismedical underwritingdisease processestreatment plansExcelWordOutlook
Soft Skills
relationship managementstrategic partnershipcommunicationprioritizationtransparency
Certifications
Registered Nurse