A true underwriting company, we have a 200-year history of helping our customers manage risk with ... and denial decisions * Confirm appropriate disclosure when applicable * Calculate and maintain ...
A true underwriting company, we have a 200-year history of helping our customers manage risk with ... and denial decisions * Confirm appropriate disclosure when applicable * Calculate and maintain ...
A true underwriting company, we have a 200-year history of helping our customers manage risk with ... and denial decisions * Confirm appropriate disclosure when applicable * Calculate and maintain ...
A true underwriting company, we have a 200-year history of helping our customers manage risk with ... and denial decisions * Confirm appropriate disclosure when applicable * Calculate and maintain ...
Remote Denial Management information
What is remote denial management?
Remote denial management refers to the process of identifying, analyzing, and resolving insurance claim denials from a remote location, typically using digital tools and secure internet connections. Professionals in this role work to ensure that healthcare providers are reimbursed for their services by investigating the reasons for denials, appealing claims, and implementing strategies to reduce future denials. This job is crucial for maintaining healthy cash flow in medical practices and hospitals, and it often involves strong analytical, communication, and problem-solving skills.
What are some common challenges faced in remote denial management, and how can they be addressed?
Remote Denial Management professionals often encounter challenges such as limited access to physical records, communication delays with payers or healthcare providers, and navigating various billing systems. To address these, it's important to develop strong digital organizational skills, maintain clear and proactive communication with team members and external parties, and stay updated on payer policies and denial trends. Leveraging robust denial management software and collaborating with other revenue cycle teams can also help overcome these obstacles and improve claim resolution rates.
What are the key skills and qualifications needed to thrive in remote denial management, and why are they important?
To thrive as a Remote Denial Management Specialist, you need a strong understanding of medical billing, insurance claims processing, and healthcare regulations, often backed by experience in revenue cycle management or a related certification. Familiarity with denial management software, electronic health records (EHRs), and payer portals is essential for efficiently tracking and resolving claim denials. Attention to detail, excellent communication, and problem-solving abilities help specialists effectively appeal denials and collaborate with providers and payers. These competencies are crucial to ensure accurate reimbursement, reduce revenue loss, and maintain compliance in a remote healthcare environment.
What is the difference between Remote Denial Management vs Remote Claims Processing?
| Aspect | Remote Denial Management | Remote Claims Processing |
|---|---|---|
| Primary Focus | Handling claim denials, appeals, and resolution | Processing and submitting insurance claims |
| Skills & Certifications | Knowledge of insurance policies, denial codes, and appeals processes | Attention to detail, data entry, basic insurance knowledge |
| Work Environment | Healthcare providers, insurance companies, remote | Healthcare providers, insurance companies, remote |
| Industry Usage | Common in medical billing and revenue cycle management | Common in medical billing and claims submission |
Remote Denial Management focuses on resolving denied claims through appeals and follow-up, while Remote Claims Processing involves submitting and managing insurance claims. Both roles require insurance knowledge and are vital in healthcare revenue cycle management, but they differ in their primary responsibilities and workflow.
What are popular job titles related to Remote Denial Management jobs in Arizona?
For Remote Denial Management jobs in Arizona, the most frequently searched job titles are:
- Remote Medicare Specialist
- Remote Electronic Toll Collection
- Telecom Billing Analyst Remote
- Work From Home Medical Biller
- Remote Prior Authorization Pharmacist
- Remote Patient Liaison
- Work From Home Government Billing Specialist
- Remote Dental Insurance Verification
- Remote Denial Analyst
- Work From Home Billing Specialist
What job categories do people searching Remote Denial Management jobs in Arizona look for?
The top searched job categories for Remote Denial Management jobs in Arizona are:
- From Home Remote Medical Billing
- Overnight Research Billing Specialist
- Work From Home Dental Billing
- Cbcs Insurance
- Entry Level Work From Home Medical Prior Authorization Specialist
- Contract Remote Billing
- Remote Medical Accounts Receivable
- Denial Management
- Temporary Claims Denial Specialist
- Remote Rare Disease Specialist
What cities in Arizona are hiring for Remote Denial Management jobs?
Cities in Arizona with the most Remote Denial Management job openings:
Other
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 16 days ago
Job description
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 A&H 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 $1.02 Billion in gross premium written.
This is a unique opportunity to work with a high-quality team of leaders and benefit from the security and stability of a large organization while maintaining a nimble and responsive approach to business. The successful candidate will work as part of a team and be responsible for evaluating claim eligibility, outlining claim exposure, processing payments to policyholders, and maintaining appropriate reporting to management. This individual will interact internally with fellow team members and externally with the division's business partners. The C&F SL team has an objective to write and administer $2 billion in business in the next 5 years.
What you will do for C&F:
What you will bring to C&F
What C&F will bring to you
At C&F you will BELONG
If you require special accommodations, please let us know. 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 accommodations, 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 $48,300.00 to a maximum of $90,800.00. 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.
#LI-AV1
#LI-Remote
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 A&H 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 $1.02 Billion in gross premium written.
This is a unique opportunity to work with a high-quality team of leaders and benefit from the security and stability of a large organization while maintaining a nimble and responsive approach to business. The successful candidate will work as part of a team and be responsible for evaluating claim eligibility, outlining claim exposure, processing payments to policyholders, and maintaining appropriate reporting to management. This individual will interact internally with fellow team members and externally with the division's business partners. The C&F SL team has an objective to write and administer $2 billion in business in the next 5 years.
What you will do for C&F:
- Within documented authority levels, review all claim submissions for accuracy, completeness, and compliance with various Plan Documents, SPDs, and Policies
- Clearly and professionally communicate external requests for information and maintain timely follow-up
- Clearly and professionally communicate claim payment and denial decisions
- Confirm appropriate disclosure when applicable
- Calculate and maintain reserves as needed
- Assist with aggregate accommodation activities and aggregate claim submissions
- Maintain appropriate reporting and communication with team and management regarding your assigned areas of responsibility
- Assist with refining internal claim procedures and recommending improvements to management
- Other duties as assigned
What you will bring to C&F
- 3+ years medical stop loss claim experience required
- Bachelor's degree or equivalent experience required
- Strong working knowledge of both Microsoft Office suite with an aptitude to learn new programs (ESL Office experience preferred)
- Ability to establish a good rapport with all stakeholders
- Commitment to delivering outstanding customer service and satisfaction
- Commitment to exploring and assisting in implementing new processes to increase effectiveness and achieve organizational goals
- Exceptional attention to detail and accuracy
- Capability to manage multiple priorities in a fast-paced environment
- Excellent written and verbal communication skills
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
If you require special accommodations, please let us know. 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 accommodations, 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 $48,300.00 to a maximum of $90,800.00. 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.
#LI-AV1
#LI-Remote
About Crum & Forster
Sourced by ZipRecruiter
Industry
Insurance services
Company size
1,001 - 5,000 Employees
Headquarters location
Morristown, NJ, US
Year founded
1822