Remote Senior Claims Specialist - National Claim Services

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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 manages the claims process for moderately complex commercial general liability construction defect cases, ensuring timely and fair resolution while adhering to company policies, regulatory requirements, and client service standards.

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.

KEY RESPONSIBILITIES:

• Investigate, evaluate, and resolve moderately complex claims in accordance with company guidelines and applicable laws.

• Review policy coverage and determine exposure based on contract terms and legal precedents.

• Negotiate fair and timely settlements with claimants, attorneys, and third-party representatives.

• Provide accurate and timely updates to internal systems and maintain complete documentation of claim files.

• Collaborate with underwriting, legal, and finance teams to ensure alignment and risk mitigation.

• Identify and escalate potential fraud or litigation risks as appropriate.

• Deliver quality customer service by maintaining open communication and providing explanations of coverage decisions.

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 Insurance, Business Administration, or related field, or equivalent work experience.

• 3–5 years of experience handling insurance claims within the property and casualty or specialty lines industry.

• Experience interpreting policy language, coverage analysis, and managing claim negotiations.

CERTIFICATIONS / LICENSES / REGISTRATIONS

• State adjuster license where required or ability to obtain within specified timeframe.

• Industry designations such as AIC (Associate in Claims) or CPCU (Chartered Property Casualty Underwriter) preferred.

FUNCTIONAL SKILLS

• Strong analytical and investigative skills to assess claim details and policy coverage.

• Proficiency in claims management systems and Microsoft Office applications. Excellent negotiation and conflict resolution abilities.

• Knowledge of state insurance regulations and legal compliance requirements.

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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