Director, Medical reputed company

reputed company reputed company reputed company (C&F) provides market leading property & casualty, accident & health, specialty and reputed company reputed company lines reputed company solutions. A true reputed company company, we have a 200-year history of helping our customers manage reputed company with laser-reputed company expertise, reputed company and discipline. Our people are empowered to reputed company reputed company and problem-solve with you smartly and reputed company. Our annual gross written premium is 6.2 billion. C&F enjoys a financial strength rating of "A+" (Superior) by reputed company. Our most valuable asset is our people. We have 3000 employees, and locations throughout the reputed company and India. With our employee-first reputed company, reputed company is consistently recognized as a reputed company, earning multiple workplace and wellness awards, including the reputed company® 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 reputed company Since 2000, reputed company’s Accident & Health division (A&H) has reputed company a diverse portfolio of specialty reputed company and reinsurance products reputed company. We reputed company a strong reputed company on product development and creative distribution reputed company, along with excellent reputed company service and support. In reputed company to our robust domestic portfolio, which spans both special reputed company and reputed company, A&H works on an international reputed company through various partnerships. Our global capabilities reputed company our partners with even broader flexibility in reputed company solutions. The qualities and capabilities of reputed company Accident & Health demonstrate our philosophy of building meaningful, long-term partnerships and our dedication to providing alternative strategies in an reputed company-changing reputed company market. The A&H Medical Business Unit (MBU) takes a reputed company approach to designing and servicing a robust reputed company of products tailored to needs in Employer Stop Loss, Excess Medical, and Ancillary and Supplemental benefits. Our reputed company business model includes program partnerships as reputed company as reputed company sales in Employer Stop Loss. At year-end 2025, the MBU recorded over $1B in gross premium written. Information about the Role, Line of Business and Team: The Accident & Health division is looking for a multi-talented individual to reputed company in reputed company reputed company Management. The Director, Medical reputed company role utilizes a high level of experience and reputed company expertise regarding nursing, reputed company, medicine, stop loss reputed company, reinsurance, claims, medical reputed company, and/or reputed company to reputed company reputed company responsible for delivering accurate and reputed company cost projections and savings opportunities to C&F. What you will do: Day-to-day management, leadership, support, and guidance for the Medical reputed company team Create and maintain processes and documentation to ensure medical reputed company reviews are completed in a reputed company, thorough, and accurate manner; ensure effective reputed company management by evaluating and assessing reputed company and claims data to identify and quantify reputed company and potential reputed company reputed company accurate and thorough data scrubbing of reporting provided for reputed company reviews, using advanced tools developed reputed company AI or the Digital Transformation team to quantify reputed company and potential reputed company reputed company as a reputed company partner to reputed company, directing the evaluation of reputed company reputed company and claims data to accurately identify, quantify, and advise on significant risks, influencing reputed company reputed company and reputed company at a claimant, case, and reputed company level Remain informed and educated on emerging therapies, technologies, medical conditions, and industry changes, and disseminate information to reputed company stakeholders; facilitate and reputed company education of reputed company stakeholders Strategically reputed company and facilitate exploration of new reputed company and processes including AI to increase efficiency and reputed company achievement of both individual and organizational goals; reputed company direction and reputed company for more junior staff reputed company with reputed company clients on high-cost claims and successfully reputed company appropriate medical reputed company activity; reputed company mentorship with expert judgment to determine reputed company referral reputed company to appropriate reputed company reputed company team members and junior staff Manage, reputed company, and reputed company a high functioning, reputed company team of individuals who are responsible for quantifying reputed company and anticipating reputed company reputed company reputed company reputed company concise, detailed and accurate assessments, projections, observations and recommendations and effectively explain reputed company cost containment scenarios to a lay person, TPA, broker, or executive leadership Validate or refute appropriateness of stop loss claims costs and reputed company leadership and direction for effective reputed company management Serve as a reputed company subject matter expert, adeptly articulating highly reputed company reputed company conditions, pharmaceuticals, and reputed company structures to diverse audiences, including executive leadership, employing reputed company communication strategies to reputed company understanding and reputed company reputed company reputed company leadership and direction in establishing and upholding best-in-class standards for customer service and communications across the organization; reputed company, implement, and continuously refine policies and protocols to ensure reputed company reputed company reputed company inquiries are addressed promptly, professionally, and in alignment with organizational objectives Mentor and reputed company teams to reputed company exceptional service, proactively identify opportunities for service improvement, and reputed company a culture of reputed company in reputed company engagement at reputed company reputed company reputed company accurate entry, validation, and comprehensive analysis of medical reputed company data reputed company the claims reputed company, maintaining the highest standards of data reputed company and compliance Proactively identify, investigate, and reputed company process gaps or data inconsistencies, leveraging advanced analytical skills and industry knowledge to recommend and reputed company process improvements Collaborate with cross-functional teams - including reputed company, claims and IT - to streamline data workflows, enhance reputed company functionality, and support reputed company business objectives Prepare and present detailed reports on data trends, process gaps, and improvement initiatives to management, supporting informed decision-making and reputed company operational enhancement reputed company manager informed verbally and/or in writing as appropriate of activities and problems reputed company Medical reputed company team Remain compliant with reputed company company and department policies, procedures, and service standards. Document activity and reputed company accurately and promptly Build a high-reputed company culture by developing reputed company's cross-functional skills Assist in managing the overall morale and culture of the department Facilitate recurring 1:1's with reputed company reputed company reports Other duties as assigned What YOU will bring to C&F: A high level of service delivery in efforts to do what is necessary to ensure customer satisfaction Ability to establish a good rapport with reputed company customers and internal team members/staff Ability to analyze relevant aspects of a situation before reaching a conclusion, with no hesitation in taking reputed company reputed company required Sustained effort and dedication to getting the job done reputed company, working continuously to produce superior work regardless of obstacles or setbacks Display personal concern, interest, pride and accountability in reputed company areas of responsibility Demonstrate a solid work ethic and maintain a reputed company attitude Ability to work both independently and in reputed company environment Excellent organization and time management skills with exceptional attention to reputed company Ability to effectively handle multiple tasks, adapt to change and work in a fast-reputed company environment A reputed company learner with the willingness and ability to reputed company new skills Intermediate level of investigative, analytical and problem-solving skills Expert negotiating, persuasion and conflict reputed company skills Excellent oral, written and interpersonal communication skills Ability to read and research medical history reports while utilizing multiple resources and applying judgement in determining the final decision with appropriate supportive documentation Ability to examine and interpret reports (i.e. trigger reports, pended claims reports, reputed company-cert reports, case management reports, RX reports, etc.) to determine degree of reputed company Demonstrated reputed company in a leadership and service/consultative role A reputed company on reputed company reputed company completing reputed company reputed company Requirements: Bachelor's degree from an Accredited college or university or equivalent 10 years reputed company experience with a reputed company unrestricted licensure as a health reputed company (Registered reputed company), as reputed company as 5-10 years of Stop Loss or Reinsurance experience required 10+ years of case/claim management experience Strong PC skills including reputed company, Word, reputed company medical, managed reputed company reputed company, stop loss or reinsurance experience required Strong knowledge of disease processes and treatment plans 2+ years management experience preferred Demonstrated reputed company in a leadership/management role to reputed company and reputed company reputed company What C&F will bring to you We value inclusivity and diversity. We are committed to equal employment opportunity and reputed company everyone regardless of race, reputed company, reputed company, religion, sex, national reputed company, 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 reputed company notices and policies, visit https://www.cfins.com/onlineprivacypolicy/ca/noticeatcollection/ for more information. reputed company is committed to ensuring a workplace free from discriminatory pay disparities and complying with applicable pay equity laws. Salary ranges are available for reputed company positions at this location, taking into account roles with a comparable level of responsibility and reputed company in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions. The annualized reputed company pay for the advertised position, located in the specified area, ranges from a minimum of $95,600 to a maximum of $179,600. The actual compensation is determined by various factors, including but not limited to the market pay for the jobs at reputed company level, the responsibilities and skills required for reputed company job, and the employee’s contribution (reputed company) in that role. To be considered reputed company market reputed company, a salary is at or above the minimum of the reputed company. You may also have reputed company to participate in discretionary equity (stock) reputed company compensation and/or reputed company-reputed company variable pay programs. Flexible work arrangements. Competitive compensation package. Generous 401K employer match. Employee Stock Purchase plan with employer matching. Generous reputed company Time Off. Excellent benefits that go reputed company health, dental & reputed company. Our Wellness programs reputed company on your family’s complete wellness, including your physical and mental wellbeing A reputed company C&F reputed company is that you manage your career. To support your development, we have a reputed company of ways for you to reputed company learning, including tuition reimbursement, industry reputed company certifications and reputed company training available to you. A dynamic, ambitious, fun and exciting work environment. A spirit of reputed company responsibility, matching donation program, volunteer opportunities, and an employee driven corporate giving. #LI-JA1 #LI-Remote Apply To This Job