Crum & Forster logo
Crum & Forster

Crum & Forster, part of Fairfax Financial Holdings Limited, is an admitted property and casualty insurance company that's been A-rated by A.M. Best. As an emplo

Clinical Operations Specialist, Medical Stop Loss

Location

Arizona

Posted

113 days ago

Salary

$46K - $86.5K / year

Seniority

Senior

Bachelor DegreeEnglish

Job Description

Clinical Operations Specialist, Medical Stop Loss

Crum & Forster

• Receive, Track, Identify and analyze claims data and clinical information • Provide communication and support for clinical review and cost containment teams • Execute system-based reports for use by management to monitor department-wide activity and performance • Collaborate effectively with fellow team members • Utilize data manipulation techniques in Excel, PDF, Word, etc.

Job Requirements

  • Bachelor’s degree from an accredited college or university required
  • Employer Stop Loss Claims/notification experience preferred
  • Advanced PC skills include Excel, Word, Outlook, SharePoint/OneDrive storage, etc.
  • Experience with medical terminology and claim coding preferred
  • Ability to demonstrate a high level of customer service delivery
  • Ability to acutely prioritize and reprioritize workload
  • Strong organization, critical thinking and time management skills

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
  • Programs focused on your whole family’s wellness
  • Tuition reimbursement
  • Industry-related certifications
  • Professional training

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