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" (Excellent) 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 2024 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.  For more information about Crum & Forster, please visit our website: www.cfins.com.

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 Operations department of the Crum & Forster Accident & Health segment is looking for a multi-talented individual to join the Claims team. This Senior Claims Program Specialist will work as part of the claims team proactively supporting a team of Program Managers who manage a portfolio of claim clients (Third Party Administrators and Managing General Underwriters). This position, under general direction, reviews and analyzes over-authority claim referrals, elevates significant exposures to leadership and assists in the preparation of various reports across several A&H product lines. This individual may interact internally with Underwriting, Actuarial, Compliance, IT, and externally with the divisions business partners.

What you will do for C&F:

• Assist in creation of a relationship-based culture through a broad set of activities that include supporting the team management of a diverse portfolio of products and administrators on an ongoing basis
• Reviews claim referrals submitted by TPAs and MGU’s in the following areas:
  • Conformance with underlying Policy
  • Eligibility of all submissions under the applicable policy
  • Processing all submissions within established internal timeframes
  • Appropriate identification of cost containment/subrogation opportunities using established criteria and prompt referral to ReClaim
  • Approval of all claims within authority
• Communicate all approval or denial decisions in a clear and professional manner
• Manage open/pending claim referrals and inquiries to include regular follow-up and escalation to claims leadership where applicable
• Participate in team member’s meetings with clients and address all open issues no less often than monthly
• Establish long term customer relationships through prompt and courteous service
• Provide support in annual reviews of administrators to ensure compliance with company requirements while identifying gaps in process and/or areas for potential improvement at both administrator and company
• Identify processing, system and/or operational issues within client or company operations in order to ensure claims are paid consistent with policy terms
• Provide support in the preparation of monthly reporting package including but not limited to inventory reporting, first level (TPA customer service & turnaround) statistics, referral analysis (turnaround times, volume breakdowns) for review by Director and Senior Level Management
• Responds to other ad hoc requests or initiatives as requested
• Other duties as assigned

What you will bring to C&F:

• Bachelor’s Degree from an Accredited institution with at least 3-5 years’ experience of relevant A&H insurance experience
• Experience in Occupational Risk and/or Liability claims required
• Experience working with multiple layers of coverage a plus
• Multi-state adjuster licenses not required, but a plus
• Experience in any specialty products such as Group Accident, Workers Compensation Occupational Accident, General Liability, Commercial Auto, Professional Liability and/or Excess and Surplus Lines is preferred.
• Experience in Microsoft Excel, Word, PowerPoint
• Ability to travel occasionally
• Ability to establish a good rapport with all customers
• Ability to demonstrate a high level of service delivery; do what is necessary to ensure customer satisfaction; deal with service failures and prioritize customer needs
• Proficient analytical/problem solving skills
• Ability to explore, develop and implement new methods and processes which increases efficiency and effectiveness to attain achievement of both individual and organizational goals
• Strong attention to detail
• Provide a sustained effort and dedication to getting the job done well, work continuously to produce superior work regardless of obstacles or setbacks
• Display personal concern, interest, pride and accountability in all areas of responsibility
• Ability to effectively handle multiple tasks in a fast-paced environment
• Ability to work both independently and in a team environment
• Strong organization and time management skills with exceptional attention to detail
• Ability to clearly present information through the spoken or written word; read and interpret complex information with moderate supervision

• 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

At C&F you will BELONG

If you require special accommodations, please let us know. 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 accommodations, please let us know

 For California Residents Only:  Information collected and processed as part of your career profile and any job applications you choose to submit are subject to our privacy notices and policies, visit https://www.cfins.com/onlineprivacypolicy/ca/noticeatcollection/  for more information.

Crum & Forster is committed to ensuring a workplace free from discriminatory pay disparities and complying with applicable pay equity laws.  Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions. The annualized base pay for the advertised position, located in the specified area, ranges from a minimum of $48,300.00 to a maximum of $90,800.00. The actual compensation is determined by various factors, including but not limited to the market pay for the jobs at each level, the responsibilities and skills required for each job, and the employee’s contribution (performance) in that role. To be considered within market range, a salary is at or above the minimum of the range. You may also have the opportunity to participate in discretionary equity (stock) based compensation and/or performance-based variable pay programs.

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