[Hiring] Senior Claim Specialist @CRC Group

Role Description

The Senior Claim Specialist is responsible for investigating, evaluating, and resolving moderately complex claims within established guidelines and authority levels. The role ensures timely, fair, and cost-effective claims handling while maintaining regulatory compliance and delivering superior customer service.

Key Responsibilities:

• Handle a portfolio of moderately complex property and casualty claims from intake to resolution.
• Conduct thorough investigations, including gathering statements, reviewing policy coverage, and analyzing relevant documentation.
• Evaluate exposure and potential liability based on policy language and facts.
• Negotiate settlements within authority limits while ensuring cost control and fairness.
• Maintain accurate documentation, claim notes, and reports in compliance with internal standards.
• Collaborate with internal teams, legal counsel, and external vendors as necessary.
• Ensure compliance with all applicable regulations, internal policies, and service-level agreements.
• Provide responsive communication and superior service to policyholders, brokers, and other stakeholders.

Qualifications

• Bachelor’s degree in Business, Insurance, Risk Management, or a related field is preferred.
• 5-7 years of relevant claims handling experience with demonstrated knowledge of property and casualty insurance principles.
• Experience working with claims management systems and standard office software.

Requirements

• Appropriate state adjuster license(s) required or the ability to obtain within a specified timeframe.
• Industry certifications such as Associate in Claims (AIC) or CPCU coursework are preferred but not mandatory.
• JD preferred but not mandatory.

Functional Skills

• Claims investigation and evaluation skills.
• Knowledge of insurance policy interpretation and coverage analysis.
• Negotiation and settlement proficiency.
• Ability to manage multiple claims and meet deadlines.
• Strong verbal and written communication skills.
• Analytical and problem-solving capabilities.
• Proficient in claims systems and Microsoft Office Suite.
• Customer service orientation with attention to detail.

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.