Senior Claims Analyst - Workers Compensation

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" (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 October 2022 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.

Job Description

The Senior Claims Analyst is responsible for providing superior customer service to policyholders, agents, claimants and others encountered during general claims handling.

The Senior Claims Analyst is responsible for the handling of medical only Workers Compensation claims to ensure timely and accurate processing and top notch customer service. The Senior Analyst is accountable for the accurate determination of the proper amount due the insured or claimant within assigned authority limits and for the compliance with company policies and procedures.

What you will do for C&F:

• Verify, identify coverage, compensability issues and conduct limited investigations.
• Identify subrogation, second injury fund and fraud situations and develop information to pursue.
• Conduct timely initial and ongoing contacts and investigation based on best practices guidelines.
• Maintain proper file on all activities and issues.
• Obtain medical records relating to the claim.
• Review claim for necessity and relatedness.
• Provide case management to files with ongoing treatment using authorized outside resources where needed.
• Prepare and submit appropriate state and agency forms timely.
• Assist with account coordination and claims reviews.
• Timely process bills and other benefit payments.
• Work closely and communicate regularly with Underwriting, Risk Engineering, and Account Executives.
• Address questions, concerns and issues from outside parties: insured’s, agents, state agencies, injured employees, attorneys.
• Provide superior customer service to agents, insured’s and others during the claims handling process.
• When appropriate and necessary, consults with manager or director of claims to obtain authority for activities and settlements that exceed assigned authority.
• Document all significant activities and contacts in the claims file, in accordance with established best practices, company claims handling procedures and applicable state regulations.
• Assist with account coordination and claims reviews.
• Timely process bills and other benefit payments.
• Take continuing education courses to maintain licenses.

What you will bring to C&F:

• College degree is required but may be waived based on prior claim or business experience.
• Excellent written and verbal communication skills.
• General knowledge of insurance and/or claims is a plus.
• Strong working knowledge of the Microsoft Office suite of programs and an aptitude to learn new programs.

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 $33,800.00 to a maximum of $56,400.00. 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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What C&F will bring to you

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

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.