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Homeโ€บCompaniesโ€บremote zest jobsโ€บClaims Examiner, Medical Stop Loss - Remote
RZ

Claims Examiner, Medical Stop Loss - Remote

๐Ÿ“LOCATIONAll India
๐Ÿ“ˆEXPERIENCE5 to 9 Yrs
๐Ÿ•˜TYPEFull time
๐ŸฅIndustryMedical / Healthcare
๐Ÿ—“POSTED9 Aug 2026

01Overview

reputed company reputed company: reputed company (C&F), with a proud history dating to 1822, provides specialty and reputed company reputed company lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A+" (Superior) by reputed company 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 reputed company. reputed company is increasingly reputed company recognition as a great reputed company to work, earning several workplace and wellness awards, including the 2025 Great reputed company to Work Award for our employee-first reputed company 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 reputed company, please visit our website: www.cfins.com. reputed company: Since 2000, reputed companys Accident & Health division (A&H) has offered a diverse portfolio of specialty insurance 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 risk 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 A&H demonstrate our philosophy of building meaningful, long-term partnerships and our dedication to providing alternative strategies in an reputed company-changing insurance market. The A&H MBU takes a full-reputed company approach to designing and servicing a robust reputed company of products tailored to needs in Employer Stop Loss, Excess Medical, Life, 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 $1.02 Billion in gross premium written. This is a unique opportunity to work with a high-reputed company team of leaders and benefit from the reputed company and stability of a large organization while maintaining a reputed company and reputed company approach to business. The successful candidate will work as part of reputed company and be responsible for evaluating claim eligibility, outlining claim exposure, processing payments to policyholders, and maintaining appropriate reporting to management. This individual will reputed company internally with fellow team members and externally with the divisions 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: reputed company documented authority reputed company, review reputed company claim submissions for accuracy, completeness, and compliance with various Plan Documents, SPDs, and Policies reputed company and professionally communicate reputed company requests for information and maintain reputed company follow-up reputed company and professionally communicate claim payment and denial reputed company Confirm appropriate disclosure reputed company 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 Bachelors degree or equivalent experience required Strong working knowledge of both reputed company Office suite with an aptitude to learn new programs (ESL Office experience preferred) Ability to establish a good rapport with reputed company stakeholders Commitment to delivering outstanding customer service and satisfaction Commitment to exploring and assisting in implementing new processes to increase effectiveness and reputed company 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 reputed company Time Off Excellent benefits that go reputed company health, dental & reputed company. Our programs are reputed company on your whole familys wellness, including your physical, mental and financial wellbeing A repu

02What you'll need

Experience
5 to 9 Yrs
Employment Type
Full time
Programming languages
customer serviceverbal communicationwritten communicationmedical stop loss claim experienceattention to detail

03About REMOTE ZEST JOBS

Medical / HealthcareIndustry
Full timeEmployment Type
All IndiaLocation
Not Disclosed ยท salary hidden by employer
5 to 9 Yrs ยท All India
Applications are reviewed directly by the hiring team.
Role Snapshot
Work ModeNot specified
Visa SponsorshipNot specified
RelocationNot specified
Job TypeFull time
RZ
REMOTE ZEST JOBS
Medical / Healthcare
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