Clinical Risk Manager, Medical Underwriting, C&F Stop Loss- Remote

Crum & Forster • Eatontown, NJ

11d • Remote

About The Position

The Clinical Risk Manager role utilizes a high level of experience and advanced knowledge regarding nursing, medical conditions, risk and prognoses as it relates to treatment plans and utilization of care. The Clinical Risk Manager provides accurate current and next year cost projections and savings opportunities to C&F.

Requirements

• 6-10 years clinical experience with a current unrestricted licensure as a health professional (Registered Nurse)
• 6+ years of reinsurance or insurance industry experience required
• Bachelor’s degree from an accredited university or equivalent experience required
• Strong PC skills including Excel, Word, Outlook
• Group medical, managed care, health insurance, stop loss or reinsurance experience required
• Strong knowledge of disease processes and treatment plans

Responsibilities

• Medical Risk Assessment & Clinical Evaluation
• Strategic Underwriting Partnership
• Client & Stakeholder Management
• Data Management, Reporting, & Quality Assurance
• Subject Matter Expertise & Communication
• Operational Excellence & Compliance

Benefits

• 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
• 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 accommodation, please let us know.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level