Senior Claims Specialist
CRC Insurance Services
full-time
Posted on:
Location Type: Remote
Location: New York • United States
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Salary
💰 $120,000 - $140,000 per year
Job Level
About the role
- 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
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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims analysisclaims processingclaims documentationclaim coverage analysiseligibility assessmentreporting forms evaluationcorrections initiationdiscretion in claims submissionmulti-line knowledgecommercial claims handling
Soft skills
leadershipsupervisionorganizational skillstime managementattention to detailtact and professionalisminterpersonal skillsverbal communicationwritten communicationindependent decision-making