Director, Medical Underwriting, C&F Stop Loss

Crum & Forster Company Overview

Crum & Forster (C&F) provides market leading property & casualty, accident & health, specialty and standard commercial lines insurance solutions. A true underwriting company, we have a 200-year history of helping our customers manage risk with laser-focused expertise, integrity and discipline. Our people are empowered to make decisions and problem-solve with you smartly and swiftly. Our annual gross written premium is 6.2 billion.

C&F enjoys a financial strength rating of "A+" (Superior) by AM Best.

Our most valuable asset is our people. We have 3000 employees, and locations throughout the United States and India. With our employee-first focus, the Company is consistently recognized as a great place to work, earning multiple workplace and wellness awards, including the Great Place to Work Award, Fortune 100 Best Companies to Work For, Fortune Best Workplaces for Parents, Fortune Best Workplaces for Millennia ls, and many others.

C&F is part of Fairfax Financial Holdings. For more information about C&F, please visit our website:

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.

The A&H Medical Business Unit (MBU) takes a full-spectrum approach to designing and servicing a robust slate of products tailored to needs in Employer Stop Loss, Excess Medical, and Ancillary and Supplemental benefits. Our diversified business model includes program partnerships as well as direct sales in Employer Stop Loss. At year-end 2025, the MBU recorded over $1B in gross premium written.

Information about the Role, Line of Business and Team:

The Accident & Health division is looking for a multi-talented individual to join our team in Clinical Risk Management. The Director, Medical Underwriting role utilizes a high level of experience and advanced clinical expertise regarding nursing, insurance, medicine, stop loss insurance, reinsurance, claims, medical underwriting, and/or underwriting to direct a team responsible for delivering accurate and timely cost projections and savings opportunities to C&F.

What you will do:

• Day-to-day management, leadership, support, and guidance for the Medical Underwriting team
• Create and maintain processes and documentation to ensure medical underwriting reviews are completed in a timely, thorough, and accurate manner; ensure effective risk management by evaluating and assessing clinical and claims data to identify and quantify known and potential risk
• Provide accurate and thorough data scrubbing of reporting provided for underwriting reviews, using advanced tools developed via AI or the Digital Transformation team to quantify known and potential risk
• Act as a strategic partner to underwriting, directing the evaluation of complex clinical and claims data to accurately identify, quantify, and advise on significant risks, influencing underwriting strategy and decisions at a claimant, case, and block level
• Remain informed and educated on emerging therapies, technologies, medical conditions, and industry changes, and disseminate information to internal and external stakeholders; facilitate and drive education of internal and external stakeholders
• Strategically oversee and facilitate exploration of new methods and processes including AI to increase efficiency and attain achievement of both individual and organizational goals; provide direction and framework for more junior staff
• Consult with internal and external clients on high-cost…