Medical Review Nurse
: Job Details :

Job Description: MEDIC011338_1Who We AreNFP, an Aon Company, is a multi-year Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and the WORK180 employer endorsement. 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: Of RoleExcess Reinsurance is currently seeking a licensed RN to work in its Woodbury, NJ location to provide cost projections and underwriter support for the review of medical claims. This full-time position requires using your extensive knowledge, expertise, and experience to review claims data and medical documentation to identify and project future medical risks for underwriting purposes.Essential Duties And ResponsibilitiesAssess claims and medical information to calculate potential risk by identifying claimants with catastrophic care needsUse varying resources to research diagnoses, treatment plans and average costsRead, analyze, and interpret medical records, claims files, and underwriting reportsProvide written assessments within expected timeframes for use when establishing rates for new and renewal businessCommunicate with underwriters and Senior Management to advise of potential claims involving significant riskInvestigate course of treatment for existing conditionsRecommend lasers where warranted. Knowledge, Skills, And/or AbilitiesThree or more years of clinical RN experience, preferably in a hospital settingTwo or more years of experience in the health insurance industry with in-depth knowledge of the UR and/or the case management processMust have strong analytical, organizational, and decision-making skills and business orientationStrong computer skillsExcellent written and verbal communication skills. Certificates, Licenses, RegistrationMust be a Registered Nurse Excess Reinsurance Underwriters Agency, Inc. is a market leader in the self-funded insurance market. Excess Reinsurance is located in Woodbury, New Jersey, about 12 miles from Philadelphia. Please submit your resume and cover letter with salary requirements.What We OfferNFP is proud to offer a competitive salary, PTO and paid holidays, 401(k) with match, exclusive discount programs, health and wellness programs, and more. Our people-first culture focuses on building and nurturing lifelong relationships with our employees because, at the end of the day, we exist to be there for others.NFP and You... Better together!NFP is an inclusive Equal Employment Opportunity employer.