Claims Resolution Specialist

CRC Group; Flower Mound, Northern (TX, KY); Hybrid; USD 38,000 - 60,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

401(k) with match

Paid time off

Job summary

CRC Group, based in Flower Mound, TX, seeks a Claims Resolution Specialist to support the claims management process. You will gather documentation, enter data into claim systems, and coordinate communications among claimants, adjusters, and other stakeholders to ensure timely processing of claims.

The role emphasizes accuracy, regulatory compliance, and professional communication, with responsibilities spanning intake, documentation gathering, and ongoing claim status updates.

Qualifications

• High school diploma or equivalent required.
• Associate degree or progress toward a bachelor's degree preferred.
• 1–2 years of experience in claims administration, insurance support, or related financial/administrative role preferred.
• Proficiency in using claims management systems and Microsoft Office applications.

Responsibilities

• Assist in the intake and setup of new claims in the system.
• Collect and verify required documentation from internal and external stakeholders.
• Provide administrative support for claims adjusters, including file organization and data entry.
• Monitor and follow up on claim status to ensure timely resolution.
• Communicate with claimants and other parties to update on claim progress as directed.
• Ensure compliance with regulatory standards and internal policies.
• Escalate issues or discrepancies to supervisor for resolution.
• Maintain accurate and up-to-date claim records within the claims management platform.

Skills

Data entry accuracy

Attention to detail

Verbal communication

Written communication

Customer service

Multi-tasking

Education

High school diploma

Associate degree preferred

Tools

Claims management systems

Microsoft Office

Job description

## Claims Resolution SpecialistApply: Flower Mound, TX: Full time: Posted Yesterday: R0000003250**The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one.****If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to** Accessibility **(accommodation requests only; other inquiries won't receive a response).****Regular or Temporary:**Regular**Language Fluency:** English (Required)**Work Shift:**1st Shift (United States of America)**Please review the following job description:**The Claims Associate is responsible for supporting the claims management process by gathering documentation, entering data into claim systems, and assisting in coordinating communications between claimants, adjusters, and other stakeholders. This role ensures timely and accurate processing of claims while adhering to company policies and regulatory requirements.**KEY RESPONSIBILITIES:**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.• Assist in the intake and setup of new claims in the system. • Collect and verify required documentation from internal and external stakeholders. • Provide administrative support for claims adjusters, including file organization and data entry. • Monitor and follow up on claim status to ensure timely resolution. • Communicate with claimants and other parties to update on claim progress as directed. • Ensure compliance with regulatory standards and internal policies. • Escalate issues or discrepancies to supervisor for resolution. • Maintain accurate and up-to-date claim records within the claims management platform.**EDUCATION AND EXPERIENCE**The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.• High school diploma or equivalent required. • Associate degree or progress toward a bachelor's degree preferred. • 1–2 years of experience in claims administration, insurance support, or related financial/administrative role preferred. • Proficiency in using claims management systems and Microsoft Office applications.**CERTIFICATIONS / LICENSES / REGISTRATIONS**• No specific criteria is required.**FUNCTIONAL SKILLS**• Basic understanding of insurance terminology and claim processes. • Data entry accuracy and attention to detail. • Ability to manage multiple tasks and meet deadlines. • Effective verbal and written communication skills. • Problem-solving and critical thinking in routine situations. • Customer service orientation with ability to handle sensitive information with confidentiality.**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.***