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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:
CRC Group is a leading, independent pure-play brokerage and underwriting specialty insurance distributor. Our culture puts people first, prioritizing long-term relationships, ethical decision-making, and continuous improvement. As a result of listening to our employees, CRC Group earned a Top Workplaces USA award three years in a row based solely on employee feedback and CRC Group is currently Great Place To Work Certified! If you want to work for a company where employees are valued and growth is encouraged, CRC Group could be the place.
The Claims Professional I is responsible for processing and managing insurance claims in accordance with company policies, guidelines, and regulatory requirements. This role involves investigating claims, analyzing policy coverage, and ensuring timely and fair resolution. The position operates under moderate supervision and requires strong attention to detail, problem-solving skills, and effective communication to deliver quality service to policyholders and internal stakeholders.
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.
• Investigate and evaluate insurance claims to determine coverage and liability.
• Review and interpret policy language and relevant documentation to assess claim validity.
• Communicate with policyholders, agents, and external parties to gather required information.
• Document all claim-related activities accurately in the system for record-keeping and regulatory compliance.
• Negotiate settlements within established authority and escalate complex cases when necessary.
• Provide exceptional customer service and maintain strong relationships with stakeholders.
• Ensure compliance with state regulations and company procedures throughout the claims process.
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 or equivalent practical experience in insurance, risk management, or related field.
• 0–2 years of experience in claims handling, insurance operations, or related role.
• Familiarity with insurance policies, terminology, and claims processing systems.
CERTIFICATIONS / LICENSES / REGISTRATIONS
• No specific criteria isrequired.
• Claims investigation and analysis
• Policy interpretation
• Negotiation and resolution skills
• Regulatory compliance
• Data entry and documentation accuracy
• Customer service orientation
• Time management and organizational ability
• Effective written and verbal communication
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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