Senior Claims Specialist

CRC Group; United States; Remote; USD 65,000 - 85,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401(k) with company match

Paid time off

Job summary

CRC Group is seeking a Senior Claims Specialist in the United States to investigate, evaluate, and resolve moderately complex property and casualty claims from intake to resolution.

The ideal candidate has 2-4 years of claims handling experience, a bachelor's degree in a related field, and an adjuster license or ability to obtain one. You will collaborate with internal teams and external partners to ensure accurate documentation and timely settlements.

Qualifications

• Bachelor's degree in related field preferred.
• 2–4 years of claims handling experience in property & casualty insurance.
• State adjuster license or ability to obtain within timeframe.
• AIC or CPCU coursework preferred but not mandatory.

Responsibilities

• Handle a portfolio of moderately complex property and casualty claims from intake to resolution.
• Conduct thorough investigations, including statements, coverage reviews, and documentation analysis.
• Evaluate exposure and potential liability based on policy language and facts.
• Negotiate settlements within authority limits with cost control and fairness.
• Maintain accurate claim notes and reports in line with internal standards.
• Collaborate with internal teams, legal counsel, and external vendors as needed.
• Ensure compliance with regulations, policies, and SLAs.
• Provide responsive communication and superior service to policyholders, brokers, and stakeholders.

Skills

Claims investigation

Policy interpretation

Negotiation

Documentation

Communication

Microsoft Office

Education

Bachelor's degree in Business/Insurance

Tools

Claims management systems

Microsoft Office

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 Senior Claims 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.

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.
• 2-4 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.

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 unitsand/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.