Complex Claims Manager - Construction Defect

Visa Hunt; United States; On-site; USD 95,000 - 140,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

401(k) with company match

Paid time off

Job summary

CRC Group is seeking a Complex Claims Manager in the United States to oversee high-exposure Construction Defect claims, assess coverage, determine liability, and negotiate settlements. You will mentor junior staff and coordinate with legal counsel, brokers, and insured clients to ensure compliant, timely resolutions.

The role requires a bachelor’s degree in business, finance, or insurance and 5+ years of experience in complex claims, with an adjuster license as applicable by jurisdiction.

Qualifications

• Bachelor’s degree in business, finance, insurance, or related field.
• Minimum 5+ years of experience in Complex Construction Defect claims.
• Experience in litigation management and settlement negotiations.
• Adjuster license as required by jurisdiction.

Responsibilities

• Investigate, assess, and resolve complex Construction Defect claims within authority limits.
• Conduct coverage analysis and determine liability exposure.
• Negotiate settlements within authority limits and organizational objectives.
• Provide guidance and mentoring to less experienced staff.
• Collaborate with legal counsel, brokers, and insured clients to resolve claims.
• Ensure adherence to standards, regulatory requirements, and best practices.
• Prepare and present reports on claim status, trends, and risk exposure.

Skills

Claims management systems

Analytical thinking

Negotiation

Communication

Time management

Mentoring/leadership

Education

Bachelor’s degree in business, finance, or insurance

Tools

Claims management software

Job description

Regular or Temporary:

Regular

Language Fluency: English (Required)

Work Shift:

1st Shift (United States of America)

Please review the following job description:

The Complex Claims Manager manages complex Construction Defect claims processes, including investigating, evaluating, and resolving high-severity claims in compliance with company standards and regulations.

KEY RESPONSIBILITIES:

• Investigate, assess, and resolve complex or high-exposure Construction Defect claims within authority limits.
• Conduct comprehensive coverage analysis and determine liability exposure.
• Negotiate settlements within authority limits and in alignment with organizational objectives.
• Provide guidance, mentoring, and technical expertise to less experienced claims staff.
• Collaborate with legal counsel, brokers, and insured clients to ensure proper claim resolution.
• Ensure adherence to organizational standards, regulatory requirements, and industry best practices.
• Prepare and present reports on claim status, trends, and risk exposure to management.

EDUCATION AND EXPERIENCE

• Bachelor’s degree in business, finance, insurance, or related field.
• Minimum of 5+ years of experience in claims handling Complex Construction Defect claims.
• Prior experience managing complex or high-severity claims preferred.
• Experience with litigation management and settlement negotiation.

CERTIFICATIONS / LICENSES / REGISTRATIONS

• Adjuster license as required by jurisdiction.
• Industry certifications such as CPCU or AIC preferred but not mandatory.

FUNCTIONAL SKILLS

• Advanced knowledge of insurance policies, coverages, and claims processes.
• Proficiency in claims management systems and related technology tools.
• Strong analytical and problem-solving skills for evaluating complex claim scenarios.
• Effective negotiation skills with demonstrated ability to influence outcomes.
• Excellent written and verbal communication skills for diverse stakeholder engagement.
• Ability to manage multiple priorities and meet strict deadlines under pressure.

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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Originally posted on Himalayas

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