Senior Claims Specialist

Senior Claims Specialist at CRC Group

Lensa is promoting this Senior Claims Specialist position for CRC Insurance Services, Inc., offering an exciting opportunity to lead claims processing and management. This role requires an individual with strong analytical capabilities, leadership acumen, and extensive knowledge of insurance processes to ensure accurate and timely claim resolution.

Essential Duties And Responsibilities

• Supervise a multi-person team, ensuring all pertinent information is effectively communicated.
• Evaluate claims, reporting forms, and cancellations, initiating necessary corrections for accuracy in dates, coverage, signatures, commissions, premiums, and attachments.
• Authenticate all relevant activity on assigned files and provide recommendations for additional actions as appropriate.
• Determine the correct reporting channels for new loss claims.
• Manage all claim documentation meticulously.
• Use discretion to submit necessary information and/or correspondence to the Agent or Insurer for appropriate claims processing.
• Analyze claim coverage with insurance carriers to ensure accurate claim payments.
• Assess eligibility status for denied claims.
• Anticipate and meet all customer needs, both internal and external.
• Maintain claims and suspense systems, ensuring timely follow-up for receipt of policies, endorsements, inspection reports, correspondence, and claims from external sources.
• Process all departmental claims efficiently and in accordance with company policy.
• Facilitate the training of new employees within the department.
• Provide supervision and guidance to Claims Assistants.
• Perform other assigned duties as needed.

Qualifications

Required Qualifications:

• Bachelor's degree with a concentration in business or equivalent relevant work experience.
• Three years of claims handling experience combined with commercial and multi-line insurance knowledge.
• Ability to critically review claim files for relevant information, accurately assess details, and make necessary recommendations.
• Capability to make independent decisions adhering to CRC guidelines with minimal or no supervision.
• Strong organizational, time management, and attention to detail skills.
• Extensive knowledge of insurance principles and CRC processes.
• Ability to maintain a high level of tact and professionalism.
• Good leadership skills to positively influence all departmental employees.
• Possess strong interpersonal skills.
• Excellent verbal and written communication skills.
• Proficiency in computer and office applications.
• Flexibility to work extended hours when necessary.

Preferred Qualifications:

• Prior adjusting experience.

Compensation & Benefits

The annual base salary for this Senior Claims Specialist position ranges from $120,000.00 to $140,000.00. CRC Group offers a comprehensive benefits program for eligible full-time teammates, designed to support physical, emotional, financial, social, and professional well-being. This includes medical, dental, vision, life, disability, and AD&D insurance; tax-advantaged savings accounts; and a 401(k) plan with company match. Generous paid time off programs, including company holidays, vacation, sick days, and new parent leave, are also provided. Eligible positions may also qualify for restricted stock units and/or a deferred compensation plan.

Why CRC Group?

• Growth: Advance your career with our robust learning and leadership development programs.
• Innovation: Work in a forward-thinking environment that values and encourages new ideas.
• Community: Be part of a supportive team that fosters collaboration and celebrates collective success.
• Benefits: Enjoy competitive compensation, comprehensive health benefits, and secure retirement plans.

Key skills/competency

• Claims Processing
• Insurance Analysis
• Team Supervision
• Commercial Insurance
• Multi-line Insurance
• Critical Thinking
• Decision Making
• Customer Service
• Communication Skills
• Regulatory Compliance