Senior Claim Specialist - Prime Specialty
CRC Group, New York, NY, United States
Overview
Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison between insured and insurance carrier to report, track and manage claims process. Provides leadership to all employees within the claims department.
Responsibilities
Supervise a multi-person team ensuring all pertinent information is communicated.
Evaluate claims, reporting forms and cancellations and initiate necessary corrections to ensure accuracy of dates, coverage, signature, commission, premium, attachments, etc.
Authenticate all relevant activity on assigned files and make recommendations for additional activity as appropriate.
Determine where new loss claims should be reported.
Manage all claim documentation.
Use discretion to submit the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately.
Analyze claim coverage with insurance carriers to ensure claims are paid accurately.
Assess eligibility status of denied claims.
Aim to meet all customer needs (both internal and external).
Maintain claims and suspense system ensuring follow-up for receipt of policies, endorsements, inspection reports, correspondence, claims, etc. from outside sources.
Process all departmental claims in a timely manner according to company policy.
Facilitate the training of new employees in the department.
Perform other duties as assigned.
Qualifications
Required Qualifications:
Bachelor's degree with a concentration in business or equivalent work experience
Three years of Claims handling experience and commercial and multi-line knowledge
Ability to critically review a claim file for relevant information, accurately access the information and make necessary recommendations
Ability to make independent decisions following CRC guidelines with minimal or no supervision
Good organizational, time management, and detail skills
Extensive knowledge of insurance and CRC processes
Ability to maintain a high level of tact and professionalism
Good leadership skills to influence all departmental employees in a positive manner
Possess strong interpersonal skills
Strong verbal and written communication skills
Strong computer and office skills
Ability to work extended hours when necessary
Preferred Qualifications:
New York adjuster license or New York attorney license
Three years of GL claims handling experience; New York Labor Law Sections 200, 240, 241 preferred.
The annual base salary for this position is $120,000.00 - $140,000.00.
Benefits
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.
EEO Statement:
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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Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison between insured and insurance carrier to report, track and manage claims process. Provides leadership to all employees within the claims department.
Responsibilities
Supervise a multi-person team ensuring all pertinent information is communicated.
Evaluate claims, reporting forms and cancellations and initiate necessary corrections to ensure accuracy of dates, coverage, signature, commission, premium, attachments, etc.
Authenticate all relevant activity on assigned files and make recommendations for additional activity as appropriate.
Determine where new loss claims should be reported.
Manage all claim documentation.
Use discretion to submit the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately.
Analyze claim coverage with insurance carriers to ensure claims are paid accurately.
Assess eligibility status of denied claims.
Aim to meet all customer needs (both internal and external).
Maintain claims and suspense system ensuring follow-up for receipt of policies, endorsements, inspection reports, correspondence, claims, etc. from outside sources.
Process all departmental claims in a timely manner according to company policy.
Facilitate the training of new employees in the department.
Perform other duties as assigned.
Qualifications
Required Qualifications:
Bachelor's degree with a concentration in business or equivalent work experience
Three years of Claims handling experience and commercial and multi-line knowledge
Ability to critically review a claim file for relevant information, accurately access the information and make necessary recommendations
Ability to make independent decisions following CRC guidelines with minimal or no supervision
Good organizational, time management, and detail skills
Extensive knowledge of insurance and CRC processes
Ability to maintain a high level of tact and professionalism
Good leadership skills to influence all departmental employees in a positive manner
Possess strong interpersonal skills
Strong verbal and written communication skills
Strong computer and office skills
Ability to work extended hours when necessary
Preferred Qualifications:
New York adjuster license or New York attorney license
Three years of GL claims handling experience; New York Labor Law Sections 200, 240, 241 preferred.
The annual base salary for this position is $120,000.00 - $140,000.00.
Benefits
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.
EEO Statement:
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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