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Senior Claims Specialist

Role overview

Qualifications

  • 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.
  • Appropriate state adjuster license(s) required or the ability to obtain within a specified timeframe.

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.

Key facts

Hard skills

Other skills

  • Negotiation
  • Customer Service
  • Microsoft Office
  • Communication
  • Analytical Skills
  • Problem Solving
  • Detail Oriented

About the company

CRC Insurance Services logo

CRC Insurance Services

Insurance Brokerage & Agencies

CRC Group is one of the largest wholesale insurance distributors in the U.S. CRC Group consists of three divisions, Commercial Solutions, Group & Individual Solutions, and Specialty Programs. The CRC Group family of brands includes CRC, TAPCO, Insurisk, CRC Programs, 5Star, The ABC Program, Negley, Professional Insurance Concepts, Pro-Praxis, SHU, Target, JH Blades, CRC Voluntary Benefits, Ethos Underwriting Services, and Hanleigh. CRC Group’s insurance offerings and practice groups range from commercial property, casualty, professional lines, small business, transportation, environmental, construction, energy, healthcare, hospitality, manufacturing & distribution, public entity, and real estate, to personal lines, disability, voluntary benefits, and more. CRC Group has the largest collection of actionable data in the wholesale business and we are putting it to use to consistently deliver better outcomes and more efficient results for our clients. We leverage data to provide a better client experience through limits benchmarking reports, amendatory endorsements, comparison tools, form review library, and property risk assessment reports. We have unveiled the REDY platform, which uses data and analytics to help clients win. In addition, we offer products exclusively available from CRC Group through our Insurisk brand. Our Claims Advocacy team is another way we strive to enhance the client experience, our dedicated team is ready to assist even after the policy is placed, we are here to help in the event of a difficult claim, as well. These are just some of the ways CRC Group is placing you first.

Company details

IndustryInsurance Brokerage & Agencies
Company size1001 - 5000

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Job description

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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: 

Following is a summary of the essential functions for this job.  Other duties may be performed, both major and minor, which are not mentioned below.  Specific activities may change from time to time.   

​​• 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 

The requirements listed below are representative of the knowledge, skill and/or ability required.  Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. 

​​• 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 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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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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