Remote Senior Claim Specialist - General Liability Casualty

CRC Group; Clayton (NM); Remoto; USD 70.000 - 95.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical insurance

Dental insurance

Vision insurance

401(k) with company match

Paid time off

Career development

Descrizione del lavoro

CRC Group, a leading independent broker and underwriting specialist, seeks a Senior Claim Specialist in New Mexico. You’ll investigate and resolve moderately complex property and casualty claims, review coverage, gather statements, and negotiate settlements within authorized limits to ensure fair, timely outcomes.

You’ll collaborate with internal teams, maintain documentation, and ensure regulatory compliance while delivering exceptional service to policyholders and brokers.

Competenze

• Bachelor’s degree in Business, Insurance, Risk Management, or related field preferred.
• 5–7 years of relevant claims handling experience with knowledge of property and casualty insurance.
• Experience with claims management systems and standard office software.

Mansioni

• Handle a portfolio of moderately complex property and casualty claims from intake to resolution.
• Conduct thorough investigations, including statements, policy review, and documentation analysis.
• Evaluate exposure and potential liability based on policy language and facts.
• Negotiate settlements within authority limits while controlling costs and fairness.
• Maintain accurate claim notes and reports per internal standards.
• Collaborate with internal teams, legal counsel, and external vendors as needed.
• Ensure compliance with regulations and SLAs; provide responsive service to policyholders, brokers, and stakeholders.

Conoscenze

Claims investigation

Policy interpretation

Negotiation

Documentation & reporting

Communication skills

Microsoft Office

Attention to detail

Analytical thinking

Formazione

Bachelor’s degree in Business/Insurance/Risk Management

Strumenti

Claims management systems

Microsoft Office Suite

Descrizione del lavoro

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 Senior Claim Specialist is responsible for investigating, evaluating, and resolving moderately complex claims within established guidelines and authority levels. The role ensures timely, fair, and cost-effective claims handling while maintaining regulatory compliance and delivering superior customer service.

Regular or Temporary: Regular

Language Fluency: English (Required)

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

Key Responsibilities

• Handle a portfolio of moderately complex property and casualty claims from intake to resolution.
• Conduct thorough investigations, including gathering statements, reviewing policy coverage, and analyzing relevant documentation.
• Evaluate exposure and potential liability based on policy language and facts.
• Negotiate settlements within authority limits while ensuring cost control and fairness.
• Maintain accurate documentation, claim notes, and reports in compliance with internal standards.
• Collaborate with internal teams, legal counsel, and external vendors as necessary.
• Ensure compliance with all applicable regulations, internal policies, and service-level agreements.
• Provide responsive communication and superior service to policyholders, brokers, and other stakeholders.

Education and Experience

• Bachelor’s degree in Business, Insurance, Risk Management, or a related field is preferred.
• 5-7 years of relevant claims handling experience with demonstrated knowledge of property and casualty insurance principles.
• Experience working with claims management systems and standard office software.

Certifications / Licenses / Registrations

• Appropriate state adjuster license(s) required or the ability to obtain within a specified timeframe.
• Industry certifications such as Associate in Claims (AIC) or CPCU coursework are preferred but not mandatory.
• JD preferred. but not mandatory.

Functional Skills

• Claims investigation and evaluation skills.
• Knowledge of insurance policy interpretation and coverage analysis.
• Negotiation and settlement proficiency.
• Ability to manage multiple claims and meet deadlines.
• Strong verbal and written communication skills.
• Analytical and problem-solving capabilities.
• Proficient in claims systems and Microsoft Office Suite.
• Customer service orientation with attention to detail.

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.

EEO is the Law Pay Transparency Nondiscrimination Provision E-Verify