Claims Support Specialist, Medical Stop Loss

Crum & Forster Company Overview

Crum & Forster (C&F), with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A+" (Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry.

Our most valuable asset is our people: more than 2000 employees in locations throughout the United States. The company is increasingly winning recognition as a great place to work, earning several workplace and wellness awards, including the 2025 Great Place to Work ® Award for our employee‑first focus and our steadfast commitment to diversity, equity and inclusion. C&F is part of Fairfax Financial Holdings, a global, billion‑dollar organization.

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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 A&H MBU takes a full‑spectrum approach to designing and servicing a robust slate of products tailored to needs in Employer Stop Loss, Excess Medical, Life, and Ancillary and Supplemental benefits. Our diversified business model includes program partnerships as well as direct sales in Employer Stop Loss.

At year‑end 2024, the MBU recorded $746M in gross premium written.

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.

• 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 escape 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

• 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

• 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,…