Claims Program Manager, Remote

Crum & Forster; United States; Remote; USD 90,000 - 130,000; Full time

Job summary

Crum & Forster's Accident & Health division is seeking a Program Manager to lead the Claims team and proactively manage a portfolio of claim clients including Third Party Administrators and Managing General Underwriters.

You will collaborate with Underwriting, Actuarial, Compliance, and IT, oversee audits and reporting, and drive process improvements across the client lifecycle to ensure service excellence.

Qualifications

• Experience coordinating audits and managing client relationships.
• Ability to oversee cross-functional program management and onboarding of new clients.
• Strong risk management and reporting skills with regulatory awareness.

Responsibilities

• Act as Audit Coordinator and oversee annual audits.
• Oversee Program Management Team functions and client onboarding.
• Build long-term customer relationships through prompt service.
• Assist due diligence of new program administration partners.
• Monitor claims activity and identify outliers for policy compliance.
• Prepare monthly reporting packages and trend analyses for Senior Management.
• Coordinate responses to attorney correspondences and legal inquiries.

Skills

Audit coordination

Relationship management

Program management

Regulatory understanding

Job description

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+" (Superior) 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 2025 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

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. Gross premium written in 2025 surpassed $2.4B. 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 Claims department of the Crum & Forster Accident & Health segment is looking for a multi-talented individual to join the Program Claims team supporting the Specialty Business Unit (SBU). This Program Manager will work as part of the claims team to proactively manage a team of Specialists assigned to manage a portfolio of claim clients (Third Party Administrators and Managing General Underwriters) while performing oversight and enhancing the client relationship by identifying and resolving process issues in all phases of the client's and company's operations. This individual will interact internally with Underwriting, Actuarial, Compliance, IT, and externally with the division's business partners.

What you will do:

Relationship Management :

• Act as an Audit Coordinator, by scheduling, coordinating & monitoring annual audits
• Be the first-level review of all required reports drafted by Program Management Team members
• Have oversight of Program Team member functions including:
• Assist in the creation of a relationship-based culture through a broad set of activities which include managing a diverse portfolio of products and administrators on an ongoing basis
• Serve as a "next step" liaison to administrative, operations, and underwriting areas of the company, on an ongoing basis
• Utilize sensitivity tactics to address relevant issues with distressed customers in a professional manner, on an ongoing basis
• Participate in team member's meetings with clients and address all open issues no less often than monthly
• Address technical issues and coordinate with IT team to seek resolutions as needed
• Assign or assist with the Program Management Team's onboarding of new clients as needed
• Establish long term customer relationships through prompt and courteous service

Risk Management

• Assist in Due Diligence of new program administration business, which includes onsite reviews and assessment, while providing Management an operational assessment of prospective partners
• Assist in annual reviews of administrators to ensure compliance with company requirements, while identifying gaps in process and/or areas for potential improvement at both the administrator and company level
• Monitor claims activity to identify any outliers, no less often than quarterly
• Identify processing, system and/or operational issues within client or company operations in order to ensure claims are paid consistent with policy terms

Reporting/Trend Analysis

• Prepare monthly reporting packages, including but not limited to, inventory reporting, first level (TPA customer service & turnaround) statistics, and referral analysis (turnaround times, volume breakdowns) for review by Senior Level Management
• On a monthly basis, provide an analysis of all claims related litigation/regulatory inquiries to identify all trends and exposure
• On no less than a quarterly basis, provide an analysis of all claims referrals logs to identify trends and recommendations for authority level adjustments as necessary

Legal/Regulatory

• Refer to and assist as necessary, all small claims litigation to the Legal team
• Review all attorney correspondences and coordinate responses wit