AVP or VP MBU Claims Leader - Eatontown, NJ or Remote

Crum & Forster Company OverviewSince 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.Job DescriptionInformation about the Role, Line of Business and Team: The successful candidate will work as part of the Operations team to proactively manage a team of claims professionals including the Claims Program Management teams, Training & Development team, and oversight of Stop Loss and Travel vertical operations. This candidate with be tasked with implementing and managing a long-term strategy that aligns to the division’s objectives.What you will do:Develop long-term plan for the Medical Business Unit program claims organization as the division continues its growth pathEstablish and monitor benchmarks and metrics for effective oversight and team performanceDevelop and provide innovative solutions that provide strategic impact to the division and deliver on approved strategic roadmap initiativesCultivate and maintain excellent relationships with reinsurers, business units and client partnersEstablish, negotiate and maintain vendor relationships and contracts that have a direct impact on divisional resultsCollaborate with management team on planning, staffing and budgetingManage audit process that integrates meaningful quality standards, validates appropriate controls and provides value to the division and client partnersWork with vertical partners to ensure alignment with divisional objectives and standards; on an ongoing basis monitor that alignmentManage assignment of work/division of responsibilities to ensure that client needs are being met and response times managed to standardsProvide directions to staff on litigated, complex and potential high exposure claimsPrepare detailed reports summarizing results of risk management reviews of specific clients as needed but no less often than monthlyPrepare portfolio analysis summary reports for delivery to management in Operations and the Business Unit monthlyPartner with Analytics to identify persistent claims error trends and report those trends regularly to managementPartner with IT team to innovate, test and implement technology solutions that improve efficiency and productivity of the claims teamEnsure that all Claims administrators are informed of and in adherence to applicable state unfair claims practices lawsWork with Claims Account Management team to ensure that all customer interactions are documented using appropriate tools with strict adherence to confidentiality agreements, policies and procedures.Work with Claims Account Management team, Direct team and verticals to ensure that the process to monitor claim denials Is consistent across the division and being handled within guidelines, consistent with policy provisions and clearly, professionally and courteously communicated to the certificate/policyholderProvide the leadership necessary to maintain a motivated, productive and competent team through open communication and delegation of responsibilities and authority.Be a team leader and builder who has an eye for talent with the ability to maximize resources and capability to deliver business results.Demonstrate strong mentoring, relationship-building, planning and organizational skills.Guide and direct team members in their personal and professional development. Drive performance excellence through goal setting, quality feedback, and performance appraisals within the team (midyear and annual).Create a working environment where productivity can be sustained and accomplished, and where innovation and personal growth is encouraged and realized.Drive and role model the A&H culture, values and C&F core competencies within their teams.Other duties and/or projects as assigned.What YOU will bring to C&F:In-depth understanding of medical terminology, healthcare delivery systems, insurance contracts, and legal principlesProven ability to manage teams, drive results in a matrix environment, and manage changeStrong ability to leverage data analytics for decision-making and identifying risk trendsHighly experienced with all facets of client relationsExcellent written/verbal communication and presentation skills, and the ability to both disseminate a vision at the highest level and understand the detailsExcellent people management skillsAbility to succe