Claims Program Manager, MBU- Eatontown, NJ or Remote

Crum & Forster Company Overview

Since 2000, Crum & Forster’s Accident & Health division (A&H) has offered a diverse portfolio of specialty insurance and reinsurance products nationwide. We place a strong focus on product development and creative distribution methods, along with excellent client service and support.

In addition to our robust domestic portfolio, which spans both special risk and medical solutions, A&H works on an international basis through various partnerships. Our global capabilities provide our partners with even broader flexibility in underwriting solutions.

The qualities and capabilities of Crum & Forster Accident & Health demonstrate our philosophy of building meaningful, long-term partnerships and our dedication to providing alternative strategies in an ever-changing insurance market.

Job Description

Information about the Role, Line of Business and Team:

The Operations department of the Crum & Forster Accident & Health segment is looking for a multi-talented individual to join the Operations team. This Claims Program Manager (Medical Business Unit) will work as part of the claims team to manage a portfolio of claim clients (Third Party Administrators and Managing General Underwriters) while performing oversight and enhancing the client relationship by identifying and resolving process issues in all phases of the client’s and company’s operations. This individual will interact internally with Underwriting, Actuarial, Compliance, IT, and externally with the divisions business partners.

What you will do:

Relationship Management :

• Assist in the creation of a relationship-based culture through a broad set of activities which include managing a diverse portfolio of medical products and administrators on an ongoing basis
• Serve as a “next-step” liaison to administrative, operations, and underwriting areas of the company, on an ongoing basis
• Utilize sensitivity tactics to address relevant issues with distressed customers in a professional manner, on an ongoing basis
• Participate in team member’s meetings with clients and address all open issues no less often than quarterly
• Address technical issues and coordinate with IT team to seek resolutions as needed
• Assist with the Program Management Team’s onboarding of new clients as needed
• Establish long term customer relationships through prompt and courteous service

Risk Management

• Assist in Due Diligence of new program administration business, which includes onsite reviews and assessment, while providing Management an operational assessment of prospective partners
• This includes scheduling, coordinating and monitoring to completion required annual audits
• Monitor claims activity to identify any outliers, no less often than quarterly
• Identify processing, system and/or operational issues w