Senior Claims Specialist

About CRC Group

CRC Group is a leader in specialty wholesale insurance, committed to innovation, collaboration, and excellence. We support a diverse workforce and are an Equal Opportunity Employer. Join our dynamic team and advance your career with extensive learning and leadership development programs, working in a forward-thinking environment that values new ideas.

Position Overview: Senior Claims Specialist

The Senior Claims Specialist analyzes and processes claims by gathering information and drawing conclusions. This role acts as a liaison between insured and insurance carrier to report, track, and manage the claims process. A key aspect of this position is providing leadership to all employees within the claims department.

Essential Duties And Responsibilities

• Supervise a multi-person team, ensuring all pertinent information is communicated effectively.
• Evaluate claims, reporting forms, and cancellations, initiating necessary corrections to ensure accuracy of dates, coverage, signature, commission, premium, and attachments.
• Authenticate all relevant activity on assigned files and make recommendations for additional activity as appropriate.
• Determine where new loss claims should be reported and manage all claim documentation efficiently.
• Use discretion to submit 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 and assess eligibility status of denied claims.
• Anticipate and meet all customer needs, both internal and external, maintaining a high level of professionalism.
• Maintain claims and suspense system, ensuring timely follow-up for receipt of policies, endorsements, inspections reports, correspondence, and claims from outside sources.
• Process all departmental claims in a timely manner according to company policy.
• Facilitate the training of new employees within the department and provide supervision to Claims Assistants.
• Perform other duties as assigned to support department operations.

Qualifications

To succeed as a Senior Claims Specialist, candidates should possess the following:

Required Qualifications:

• Bachelor's degree with a concentration in business or equivalent work experience.
• Three years of claims handling experience with 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-oriented skills.
• Extensive knowledge of insurance 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, along with strong verbal and written communication skills.
• Strong computer and office skills.
• Ability to work extended hours when necessary.

Preferred Qualifications:

• Adjusting experience.

Benefits and Culture at CRC Group

At CRC Group, we are committed to supporting every aspect of our teammates' well-being. Eligible full-time teammates enjoy access to medical, dental, vision, life, disability, and AD&D insurance; tax-advantaged savings accounts; and a 401(k) plan with company match. We also offer generous paid time off programs, including company holidays, vacation and sick days, and new parent leave. Eligible positions may qualify for restricted stock units and/or a deferred compensation plan.

Who We’re Looking For

We seek passionate individuals who thrive in a fast-paced, collaborative environment. If you value integrity and are driven to succeed, CRC Group is the place for you.

Key Skills/Competency

• Claims Management
• Insurance Policies
• Team Supervision
• Analytical Thinking
• Customer Service
• Commercial Insurance
• Multi-line Knowledge
• Decision Making
• Communication Skills
• Regulatory Compliance