Complex Claims Adjuster

CRC Insurance Services, Inc. • Flower Mound, TX • 18h ago

The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one.

If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (careers@crcgroup.com?subject=Accommodation%20request) (accommodation requests only; other inquiries won't receive a response).

Regular or Temporary:

Regular

Language Fluency: English (Required)

Work Shift:

1st Shift (United States of America)

Please review the following job description:

Process claims, which includes evaluating policy for coverage; working with the insured, outside adjusters, agents and attorneys on the claim and coordinating the payment of claims. In addition, prepare reports such as loss runs and monthly bordereau.

ESSENTIAL DUTIES AND 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.

Review policy to determine if loss is covered. If questionable, then hire attorney for coverage counsel for coverage analysis.

Settle claims within settlement authority, where applicable.

Work with adjusters, insureds, attorneys, agents and others to assure the claim is handled efficiently and professionally.

Attend mediations, when applicable and negotiate settlement within authority.

Oversight of vendors (attorneys/adjusters/experts) for accuracy in reporting. Audit invoices for accuracy.

Process incoming and outgoing claims and vendor payments.

Maintain loss fund.

Must review and recommend policy wording changes.

Perform claim status requests and updates.

Prepare daily, weekly and monthly reports.

Travel for meetings with clients, mediations and underwriters. Approximately 25% of time will be out of the office.

QUALIFICATIONS

Required Qualifications:

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

High School Diploma

College degree or equivalent work experience

Claims Adjuster's license

Good organizational/time management skills

Ability to work under time constraints and meet deadlines

Strong verbal and written communications skills

Ability to operate a computer, calculator, multi-line phone, fax machine, copier and other office equipment

Knowledge and use of correct spelling and grammar

Ability to write legibly

Ability to effectively interact with employees at all levels of the organization and with a variety of people from diverse backgrounds

Ability to adhere to all organizational policies and procedures

Demonstrated proficiency in basic computer applications, such as Microsoft Office software products

Ability to travel, occasionally overnight

Preferred Qualifications:

Previous administrative support experience

General Description of Available Benefits for Eligible Employees of CRC Group: All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of CRC Group offering the position. CRC Group offers medical, dental, vision, life insurance, disability, accidental death and dismemberment, tax-preferred savings accounts, and a 401k plan to teammates. Teammates also receive no less than 10 days of vacation (prorated based on date of hire and by full-time or part-time status) during their first year of employment, along with 10 sick days (also prorated), and paid holidays. Depending on the position and division, this job may also be eligible for restricted stock units, and/or a deferred compensation plan. As you advance through the hiring process, you will also learn more about the specific benefits available for any non-temporary position for which you apply, based on full-time or part-time status, position, and division of work.

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.

EEO is the Law (https://www.eeoc.gov/sites/default/files/2022-10/EEOC\KnowYourRights\screen\reader\10\20.pdf) Pay Transparency Nondiscrimination Provision E-Verify (https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify\Participation\Poster\ES.pdf)

Join CRC Group, a leader in specialty wholesale insurance, and take your career to new heights. We're a dynamic team dedicated to innovation, collaboration, and excellence.

Why CRC Group?

Growth: Advance your career with our learning and leadership development programs.

Innovation: Work in a forward-thinking environment that values new ideas.

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