Claims Resolution Specialist — Data & Coordination

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

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.