[Hiring] Claims Principal @CRC Group

Role Description

The Claims Principal handles the claims' function, ensuring accurate and efficient claims handling, risk assessment, and regulatory compliance across the program. This role will handle professional liability claims and requires experience with claims-made forms and policies. This role sets policies, drives process improvements, and partners with senior leaders to optimize claims strategies that align with organizational objectives and enhance customer experience.

Key Responsibilities

• Handle high-complexity and high-value claims from intake through resolution.
• Conduct comprehensive coverage analysis and determine liability exposure.
• Develop and implement strategic claims policies and procedures to ensure consistent and compliant claims handling.
• Collaborate with executive management to align claims strategies with business objectives and financial goals.
• Analyze claims data to identify trends, mitigate risk, and recommend process enhancements or system improvements.
• Ensure adherence to all legal, regulatory, and company standards regarding claims practices.
• Drive innovation in claims processes through the evaluation and adoption of technology and automation solutions.

Qualifications

• Bachelor’s degree in Business, Insurance, Law, or related field.
• 15+ years of progressively responsible experience in claims management or insurance operations.
• Demonstrated experience leading large teams and managing enterprise-wide claims strategy.
• Proven track record of adjusting professional liability claims on "claims made" forms and policies, regulatory compliance, and risk management issues.

Requirements

• CPCU (Chartered Property Casualty Underwriter) certification preferred.
• State-specific claims adjusting license may be required depending on jurisdiction.

Functional Skills

• Strategic Leadership
• Claims Management Expertise
• Regulatory and Compliance Knowledge
• Litigation and Negotiation Skills
• Data Analysis and Trend Identification
• Process Improvement and Change Management
• Vendor and Stakeholder Relationship Management
• Advanced Communication and Presentation Skills

Benefits

• Access to medical, dental, vision, life, disability, and AD&D insurance.
• Tax-advantaged savings accounts.
• 401(k) plan with company match.
• Generous paid time off programs, including company holidays, vacation and sick days, new parent leave, and more.
• Eligible positions may also qualify for restricted stock units and/or a deferred compensation plan.