Claims Adjuster

CRC Group; Flower Mound (TX); On-site; USD 42,000 - 65,000; Full time

Benefits offered by this job

Health insurance

401(k) plan with company match

Paid time off

New parent leave

Restricted stock units

Job summary

CRC Group is seeking a Claims Professional I to process and manage insurance claims with attention to policy language and coverage. You will investigate claims, document activities, and communicate with policyholders and agents to gather information, ensuring timely, fair resolutions.

The role emphasizes accurate data entry, regulatory compliance, and strong customer service. A bachelor’s degree in a related field and up to 2 years of claims experience are expected.

Qualifications

• Bachelor’s degree or equivalent practical experience in insurance, risk management, or related field.
• 0–2 years of experience in claims handling, insurance operations, or related role.
• Familiarity with insurance policies, terminology, and claims processing systems.

Responsibilities

• Investigate and evaluate insurance claims to determine coverage and liability.
• Review and interpret policy language and relevant documentation to assess claim validity.
• Communicate with policyholders, agents, and external parties to gather required information.
• Document all claim-related activities accurately in the system for record-keeping and regulatory compliance.
• Negotiate settlements within established authority and elevate complex cases when necessary.
• Provide exceptional customer service and maintain strong relationships with stakeholders.
• Ensure compliance with state regulations and company procedures throughout the claims process.

Skills

Claims investigation and analysis

Policy interpretation

Negotiation and resolution skills

Regulatory compliance

Data entry and documentation accuracy

Customer service orientation

Time management

Written and verbal communication

Education

Bachelor’s degree or equivalent practical experience in insurance/risk management

Job description

Regular or Temporary:

Regular

Language Fluency:

English (Required)

Work Shift:

1st Shift (United States of America)

Please review the following job description:

CRC Group is a leading, independent pure-play brokerage and underwriting specialty insurance distributor. Our culture puts people first, prioritizing long-term relationships, ethical decision-making, and continuous improvement. As a result of listening to our employees, CRC Group earned a Top Workplaces USA award three years in a row based solely on employee feedback and CRC Group is currently Great Place To Work Certified! If you want to work for a company where employees are valued and growth is encouraged, CRC Group could be the place.

The Claims Professional I is responsible for processing and managing insurance claims in accordance with company policies, guidelines, and regulatory requirements. This role involves investigating claims, analyzing policy coverage, and ensuring timely and fair resolution. The position operates under moderate supervision and requires strong attention to detail, problem-solving skills, and effective communication to deliver quality service to policyholders and internal stakeholders.

KEY RESPONSIBILITIES:

• Investigate and evaluate insurance claims to determine coverage and liability.
• Review and interpret policy language and relevant documentation to assess claim validity.
• Communicate with policyholders, agents, and external parties to gather required information.
• Document all claim-related activities accurately in the system for record-keeping and regulatory compliance.
• Negotiate settlements within established authority and elevate complex cases when necessary.
• Provide exceptional customer service and maintain strong relationships with stakeholders.
• Ensure compliance with state regulations and company procedures throughout the claims process.

EDUCATION AND EXPERIENCE

• Bachelor’s degree or equivalent practical experience in insurance, risk management, or related field.
• 0–2 years of experience in claims handling, insurance operations, or related role.
• Familiarity with insurance policies, terminology, and claims processing systems.

CERTIFICATIONS / LICENSES / REGISTRATIONS

• No specific criteria is required.

FUNCTIONAL SKILLS

• Claims investigation and analysis
• Policy interpretation
• Negotiation and resolution skills
• Regulatory compliance
• Data entry and documentation accuracy
• Customer service orientation
• Time management and organizational ability
• Effective written and verbal communication

General Description of Available Benefits for Eligible Employees of CRC Group:

At CRC Group, we’re committed to supporting every aspect of teammates’ well-being – physical, emotional, financial, social, and professional. Our best-in-class benefits program is designed to care for the whole you, offering a wide range of coverage and support. 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. CRC Group also offers 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 unitsand/or a deferred compensation plan.

CRC Group supports a diverse workforce and is an Equal Opportunity Employer that does not discriminate against individuals on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law. CRC Group is a Drug Free Workplace.

EEO is the Law Pay Transparency Nondiscrimination Provision E-Verify