Senior Claims Specialist

About the job

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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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