Senior Claims Specialist - National Claim Services

CRC Group • Remote - Florida, TX

1d • Onsite

About The Position

The Senior Claims Specialist manages the claims process for moderately complex commercial general liability construction defect cases, ensuring timely and fair resolution while adhering to company policies, regulatory requirements, and client service standards. 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.

Requirements

• Bachelor’s degree in Insurance, Business Administration, or related field, or equivalent work experience.
• 3–5 years of experience handling insurance claims within the property and casualty or specialty lines industry.
• Experience interpreting policy language, coverage analysis, and managing claim negotiations.
• State adjuster license where required or ability to obtain within specified timeframe.
• Strong analytical and investigative skills to assess claim details and policy coverage.
• Proficiency in claims management systems and Microsoft Office applications.
• Excellent negotiation and conflict resolution abilities.
• Knowledge of state insurance regulations and legal compliance requirements.

Nice To Haves

• Industry designations such as AIC (Associate in Claims) or CPCU (Chartered Property Casualty Underwriter) preferred.

Responsibilities

• Investigate, evaluate, and resolve moderately complex claims in accordance with company guidelines and applicable laws.
• Review policy coverage and determine exposure based on contract terms and legal precedents.
• Negotiate fair and timely settlements with claimants, attorneys, and third-party representatives.
• Provide accurate and timely updates to internal systems and maintain complete documentation of claim files.
• Collaborate with underwriting, legal, and finance teams to ensure alignment and risk mitigation.
• Identify and escalate potential fraud or litigation risks as appropriate.
• Deliver quality customer service by maintaining open communication and providing explanations of coverage decisions.

Benefits

• medical, dental, vision, life, disability, and AD&D insurance
• tax-advantaged savings accounts
• a 401(k) plan with company match
• generous paid time off programs, including company holidays, vacation and sick days, new parent leave, and more
• restricted stock units and/or a deferred compensation plan

What This Job Offers

• Job Type: Full-time
• Career Level: Senior