Crum & Forster Company Overview

Crum & Forster (C&F) provides market leading property & casualty, accident & health, specialty and standard commercial lines insurance solutions. A true underwriting company, we have a 200-year history of helping our customers manage risk with laser-focused expertise, integrity and discipline. Our people are empowered to make decisions and problem-solve with you smartly and swiftly. Our annual gross written premium is 6.2 billion. C&F enjoys a financial strength rating of "A+" (Superior) by AM Best.

Our most valuable asset is our people. We have 3000 employees, and locations throughout the United States and India. With our employee-first focus, the Company is consistently recognized as a great place to work, earning multiple workplace and wellness awards, including the Great Place to Work® Award, Fortune 100 Best Companies to Work For, Fortune Best Workplaces for Parents, Fortune Best Workplaces for Millennials, and many others.

C&F is part of Fairfax Financial Holdings. For more information about C&F, please visit our website: www.cfins.com

Job Description

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 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 2025, the MBU recorded $1B in gross premium written.

Information about the Role, Line of Business and Team:

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.

What you will do:

• Medical Risk Assessment & Clinical Evaluation: Review and analyze all data and documentation within existing systems and that provided by Underwriting including but not limited to diagnoses, procedures, case management notes, treatment plans, and comorbid conditions to assess validity of data and clinical risk.
• Strategic Underwriting Partnership: Triage and prioritize requests for medical underwriting review based on business urgency, workload capacity, and alignment with underwriting and leadership priorities.
• Client & Stakeholder Management: Develop, maintain, and manage strong relationships with internal and external clients, Third-Party Administrators (TPAs), and vendors, championing exemplary customer service standards.
• Data Management, Reporting, & Quality Assurance: Ensure accurate entry, validation, and analysis of medical underwriting data within the claims system, maintaining high standards of data integrity.
• Subject Matter Expertise & Communication: Serve as a primary subject matter expert, articulating complex clinical conditions, pharmaceuticals, and risk structures to diverse audiences, including executive leadership.
• Operational Excellence & Compliance: Support and explore new methods and processes to increase efficiency and achieve individual and organizational goals.

What YOU will bring to C&F:

• Analytical & Operational Excellence: Possesses expert analytical, investigative, and problem-solving skills with the ability to interpret complex medical and risk reports.
• Communication & Relationship Management: Demonstrates excellent interpersonal, oral, and written communication skills, with a strong focus on customer satisfaction and building rapport.
• Professional Drive & Accountability: Exhibits a strong work ethic, personal accountability, and a commitment to producing high-quality, accurate work.
• Collaboration & Mentorship: Proven ability to work effectively both independently and collaboratively within a team, with the capacity to mentor and guide junior staff.

Requirements:

• 5-10 years clinical experience with a current unrestricted licensure as a health professional (Registered Nurse) preferred
• 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

What C&F will bring to you

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.

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 $67,900 to a maximum of $127,600. 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.

Flexible work arrangements.

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 Wellness programs focus on your family’s complete wellness, including your physical and mental wellbeing.

A core C&F principle is that you manage your career. To support your development, we have a wealth of ways for you to keep learning, including tuition reimbursement, industry related certifications and professional training available to you.

A dynamic, ambitious, fun and exciting work environment.

A spirit of social responsibility, matching donation program, volunteer opportunities, and an employee driven corporate giving.