Claims Resolution Specialist

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.

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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:

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.

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

2. Settle claims within settlement authority, where applicable.

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

4. Attend mediations, when applicable and negotiate settlement within authority.

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

6. Process incoming and outgoing claims and vendor payments.

7. Maintain loss fund.

8. Must review and recommend policy wording changes.

9. Perform claim status requests and updates.

10. Prepare daily, weekly and monthly reports.

11. 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.

1. High School Diploma

2. College degree or equivalent work experience

3. Claims Adjuster's license

4. Good organizational/time management skills

5. Ability to work under time constraints and meet deadlines

6. Strong verbal and written communications skills

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

8. Knowledge and use of correct spelling and grammar

9. Ability to write legibly

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

11. Ability to adhere to all organizational policies and procedures

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

13. Ability to travel, occasionally overnight

Preferred Qualifications:

1. Previous administrative support experience

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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