Senior Claims Specialist

Senior Claims Specialist at CRC Insurance Services, Inc.

Lensa, partnering with DirectEmployers, promotes this Senior Claims Specialist position for CRC Insurance Services, Inc. This role involves comprehensive claims analysis and management, acting as a critical liaison between insured parties and insurance carriers.

Position Overview

Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison between insured and insurance carrier to report, track and manage claims process. Provides leadership to all employees within the claims department.

Essential Duties and Responsibilities

• Supervise a multi-person team ensuring all pertinent information is communicated.
• Evaluate claims, reporting forms and cancellations and initiate necessary corrections to ensure accuracy of dates, coverage, signature, commission, premium, attachments, etc.
• Authenticate all relevant activity on assigned files and makes recommendation for additional activity as appropriate.
• Determine where new loss claims should be reported.
• Manage all claim documentation.
• Use discretion to submit the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately.
• Analyze claim coverage with insurance carriers to ensure claims are paid accurately.
• Assess eligibility status of denied claims.
• Anticipate and meets all customer needs (both internal and external).
• Maintain claims and suspense system ensuring follow-up for receipt of policies, endorsements, inspections reports, correspondence, claims, etc. from outside sources.
• Process all departmental claims in a timely manner according to company policy.
• Facilitate the training of new employees in the department.
• Provide supervision to Claims Assistants.
• Perform other duties as assigned.

Qualifications

Required Qualifications:

• Bachelor's degree with a concentration in business or equivalent work experience.
• Three years of Claims handling experience and commercial and multi-line knowledge.
• Ability to critically review a claim file for relevant information, accurately access the information and make necessary recommendations.
• Ability to make independent decisions following CRC guidelines with minimal or no supervision.
• Good organizational, time management, and detail skills.
• Extensive knowledge of insurance and CRC processes.
• Ability to maintain a high level of tact and professionalism.
• Good leadership skills to influence all departmental employees in a positive manner.
• Possess strong interpersonal skills.
• Strong verbal and written communication skills.
• Strong computer and office skills.
• Ability to work extended hours when necessary.

Preferred Qualifications:

• Adjusting experience.

Why Join CRC Group?

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

Key skills/competency

• Claims Processing
• Insurance Coverage Analysis
• Team Supervision
• Risk Management
• Customer Service
• Commercial Insurance
• Multi-Line Claims
• Decision Making
• Organizational Skills
• Communication Skills