Claims Principal - FEDS Protection

CRC Group; Bethesda (MD); On-site; USD 120,000 - 160,000; Full time

Benefits offered by this job

Medical Insurance

401(k) Match

Paid Time Off

Job summary

CRC Group is seeking a Claims Principal to lead in-house claims operations for its professional liability program. The role requires 15+ years of claims management expertise, a strong regulatory mindset, and the ability to set policies and drive improvements across a large enterprise.

The position is in-office, with potential for full-time remote work based on experience and fit. A CPCU is preferred, and a state license may be required.

Qualifications

• Bachelor’s degree in Business, Insurance, Law, or related field.
• 15+ years of progressively responsible experience in claims management or insurance operations.
• Demonstrated experience leading large teams and managing enterprise-wide claims strategy.
• Proven track record of adjusting professional liability claims on 'claims made' forms and policies, regulatory compliance, and risk management issues.

Responsibilities

• Handle high-complexity and high-value claims from intake through resolution.
• Conduct comprehensive coverage analysis and determine liability exposure.
• Develop and implement strategic claims policies and procedures to ensure consistent and compliant claims handling.
• Collaborate with executive management to align claims strategies with business objectives and financial goals.
• Analyze claims data to identify trends, mitigate risk, and recommend process enhancements or system improvements.
• Ensure adherence to all legal, regulatory, and company standards regarding claims practices.
• Drive innovation in claims processes through the evaluation and adoption of technology and automation solutions.

Skills

Regulatory Compliance

Litigation & Negotiation

Data Analysis

Process Improvement

Vendor Relationships

Effective Communication

Education

Bachelor’s degree in Business/Insurance/Law

CPCU certification

State claims adjusting license

Job description

Regular or Temporary: Regular

Work Shift:1st Shift (United States of America)

Please review the following job description:

The Claims Principal handles the claims' function, ensuring accurate and efficient claims handling, risk assessment, and regulatory compliance across the program. This role will handle professional liability claims and requires experience with claims-made forms and policies. This role sets policies, drives process improvements, and partners with senior leaders to optimize claims strategies that align with organizational objectives and enhance customer experience.

FEDS Protection, a CRC Group Program, provides insurance solutions to federal employees and federal contractors. We utilize our innovative client-focused approach to educate and protect federal employees and contractors operating in the U.S. and abroad. With over 200 federal agencies and government missions to keep up with, the environment is challenging, fast-paced and constantly evolving.

FEDS Protection is currently seeking a claims professional to lead its in-house claims operations and support the FEDS Protection federal employee professional liability insurance program. With delegated claims authority from our carrier, this role will be responsible for processing and adjusting claims, as well as advise and establish best in class claims operations for the program.

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.

KEY RESPONSIBILITIES

• Handle high-complexity and high-value claims from intake through resolution.
• Conduct comprehensive coverage analysis and determine liability exposure.
• Develop and implement strategic claims policies and procedures to ensure consistent and compliant claims handling.
• Collaborate with executive management to align claims strategies with business objectives and financial goals.
• Analyze claims data to identify trends, mitigate risk, and recommend process enhancements or system improvements.
• Ensure adherence to all legal, regulatory, and company standards regarding claims practices.
• Drive innovation in claims processes through the evaluation and adoption of technology and automation solutions.

Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.

EDUCATION AND EXPERIENCE

• Bachelor’s degree in Business, Insurance, Law, or related field.
• 15+ years of progressively responsible experience in claims management or insurance operations.
• Demonstrated experience leading large teams and managing enterprise-wide claims strategy.
• Proven track record of adjusting professional liability claims on "claims made" forms and policies, regulatory compliance, and risk management issues.

CERTIFICATIONS / LICENSES / REGISTRATIONS

• CPCU (Chartered Property Casualty Underwriter) certification preferred.
• State-specific claims adjusting license may be required depending on jurisdiction.

FUNCTIONAL SKILLS

• Regulatory and Compliance Knowledge
• Litigation and Negotiation Skills
• Data Analysis and Trend Identification
• Process Improvement and Change Management
• Vendor and Stakeholder Relationship Management
• Advanced Communication and Presentation Skills

The annual base salary for this position is $120,000 - $160,000/yr.

This is an in-office opportunity, though full-time remote work may be available depending on the candidate’s experience, qualifications, and fit for the role.

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 units and/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.

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