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CRC Insurance Services

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Senior Claims Specialist

Claims SpecialistClaims SpecialistFull TimeRemoteSeniorTeam 1,001-5,000Since 1982H1B No SponsorCompany SiteLinkedIn

Location

New York

Posted

61 days ago

Salary

$120K - $140K / year

Seniority

Senior

Bachelor Degree3 yrs expEnglish

Job Description

• 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 • 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 makes recommendation 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 • Anticipate and meets all customer needs (both internal and external) • Maintain claims and suspense system ensuring follow-up for receipt of policies, endorsements, inspections 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 • Provide supervision to Claims Assistants • Perform other duties as assigned

Job Requirements

  • 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

Benefits

  • Access to medical, dental, vision, life, disability, and AD&D insurance
  • Tax-advantaged savings accounts
  • 401(k) plan with company match
  • 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

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