Medical Underwriting Review Nurse
NFP · US
Who We Are: NFP, an Aon company, is a multiple Best Places to Work award winner in Business Insurance. We are an organization of consultative advisors and pr...
Job description
Who We Are: NFP, an Aon company, is a multiple Best Places to Work award winner in Business Insurance. We are an organization of consultative advisors and problem solvers. We help companies and individuals around the globe address their most significant risk, workforce, wealth management and retirement challenges through custom solutions and a people-first approach. To learn more, please visit: https://www.NFP.com. East Coast Underwriters is a leading Managing General Underwriter specializing in Medical Stop Loss coverage for self-funded employer groups. ECU values accuracy, responsiveness, and a commitment to exceptional service for its clients. Qualifications: - Provide initial and updated individual medical risk analysis of self-funded and fully insured groups for proposed stop loss new business and renewals. - Review a variety of claim reports including shock loss/High-Cost Claimant, spec/50%, trigger, individual paid claim detail, pending, denied, prescription, precertification and case management notes as well as individual medical questionnaires. - Research medical conditions and treatment options using a variety of resources to predict potential future treatment plans, ongo...