Claims Support Specialist, Medical Stop Loss

Claims Support Specialist

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.

What you will do for C&F:

• 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

What you will bring to C&F:

• 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

What C&F will bring to you

• 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

If you require special accommodations, please let us know. We value inclusivity and diversity. We are committed to equal employment opportunity and welcome everyone regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. If you require special accommodations, please let us know.

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Crum & Forster is committed to ensuring a workplace free from discriminatory pay disparities and complying with applicable pay equity laws. Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions. The annualized base pay for the advertised position, located in the specified area, ranges from a minimum of $34,800.00 to a maximum of $51,000.00. The actual compensation is determined by various factors, including but not limited to the market pay for the jobs at each level, the responsibilities and skills required for each job, and the employee's contribution (performance) in that role. To be considered within market range, a salary is at or above the minimum of the range. You may also have the opportunity to participate in discretionary equity (stock) based compensation and/or performance-based variable pay programs.