Senior Litigation Claims Adjuster

CRC Group; Northern (KY); Hybrid; USD 85,000 - 130,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) match

Paid time off

New parent leave

RSU program

Job summary

CRC Group seeks a seasoned Claims Senior Professional to lead complex claims processes and deliver timely adjudication while minimizing risk. You will investigate high-severity cases, assess coverage and liability, and coordinate with brokers, legal teams, and vendors to secure favorable outcomes.

Required are a business/insurance background with 5+ years in complex claims, plus licenses and regulatory knowledge.

Qualifications

• Bachelor’s degree in business, insurance, risk management, or related field preferred.
• 5+ years of experience handling claims, preferably in specialty or complex lines.
• Demonstrated expertise in managing complex or high-risk claims scenarios.
• Experience working with brokers, legal professionals, and regulatory agencies.

Responsibilities

• Investigate, assess, and resolve complex claims within authority limits.
• Analyze policy coverage and liability to determine appropriate claim outcomes.
• Develop and execute strategies to mitigate potential financial risk exposure.
• Collaborate with legal counsel, underwriters, and external vendors as necessary.
• Prepare comprehensive reports and documentation for claim decisions.
• Ensure all regulatory requirements and compliance standards are met.
• Manage communications with clients, brokers, and internal stakeholders throughout the claims process.
• Participate in audits and quality control reviews to ensure best practices.
• Contribute to process improvement initiatives within the claims department.

Skills

Litigated claims

Commercial auto claims

Negotiation

Regulatory compliance

FMCSA knowledge

Mentoring

Claims management systems

Education

Bachelor’s degree in business/insurance/risk management

Tools

Claims management systems

Job description

CRC Group seeks a seasoned Claims Senior Professional to lead complex claims processes and deliver timely adjudication while minimizing risk. You will investigate high-severity cases, assess coverage and liability, and coordinate with brokers, legal teams, and vendors to secure favorable outcomes.

Required are a business/insurance background with 5+ years in complex claims, plus licenses and regulatory knowledge.