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RN Medical Review Nurse (Hybrid)

$77k - $94k

NFP, an Aon company

Who We Are NFP, an Aon Company, is a multi-year Best Places to Work award winner in Business Insurance. We are an organization of consultative advisors and problem solvers. We help companies and individuals around the world address their most significant risk, workforce, wealth management, and retirement challenges through custom solutions and a people‑first approach. Posting Description Excess Reinsurance is currently seeking a licensed RN to work in its Woodbury, NJ location to provide cost projections and underwriter support for the review of medical claims. This full‑time position requires using your extensive knowledge, expertise, and experience to review claims data and medical documentation to identify and project future medical risks for underwriting purposes. Essential Duties And Responsibilities Assess claims and medical information to calculate potential risk by identifying claimants with catastrophic care needs. Use varying resources to research diagnoses, treatment plans, and average costs. Read, analyze, and interpret medical records, claims files, and underwriting reports. Provide written assessments within encouraged timeframes for use when establishing rates for new and renewal business. Connect with underwriters and Senior Management to advise of potential claims involving significant risk. Investigate course of treatment for existing conditions. Recommend lasers where warranted. Knowledge, Skills, And/or Abilities A minimum of three years clinical RN experience, preferably in a hospital setting. At least two years of experience in the health insurance industry with in-depth knowledge of the UR and/or the case management process. Must have strong analytical, organizational, and decision‑making skills and business orientation. Strong digital literacy Excellent written and verbal communication skills. Certificates, Licenses, Registration Must be a Registered Nurse Excess Reinsurance Underwriters Agency, Inc. is a market leader in the self‑funded insurance market. Excess Reinsurance is located in Woodbury, New Jersey, about 12 miles from Philadelphia. What We Offer Competitive salary, PTO & paid holidays, 401(k) with match, best‑in‑class discount programs, health & wellness programs, and more. Base salary range for this position is $77,000 – $94,000. Base salary offered will be determined by factors including, but not limited to, experience, credentials, education, certifications, skill level required for the position, the scope of the position, and geographic location. Actual base salary offered will be determined on a case‑by‑case basis. In addition to the base salary, this position may be eligible for performance‑based incentives. Work location: Woodbury, New Jersey, about 12 miles from Philadelphia. Full‑time position. NFP and You... Better Together! NFP is an inclusive Equal Employment Opportunity employer. #J-18808-Ljbffr NFP, an Aon company

Vacancy posted 2 days ago
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