Senior Claim Specialist - Prime Specialty

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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:

Analyzes and processes claims by gathering information and drawing conclusions. Manages and evaluates General Liability claims affecting primary and excess policies in a fast-paced E&S Claim environment.

ESSENTIAL DUTIES AND RESPONSIBILITIES

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.

1. Independently evaluating information on coverage, liability, damages and risk transfer to determine the extent of exposure to the insured and all financial partners.

2. Litigation Management providing world class claims service to our clients, developing and executing litigation plans, managing legal budgets and lawsuits through resolution.

3. Determine where new loss claims should be reported.

4. Use discretion to submit the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately.

5. Analyze claim coverage with insurance carriers to ensure claims are paid accurately.

6. Assess eligibility status of denied claims.

7. Providing outstanding customer service and fostering great working relationships with insureds, brokers and underwriters in the handling and adjudication of all claims.

8. Maintain claims and suspense system ensuring follow-up for receipt of policies, endorsements, inspections reports, correspondence, claims, etc. from outside sources.

9. Process all departmental claims in a timely manner according to company policy.

10.Ability to attend mediations and trials as needed.

11. Perform other duties as assigned.

QUALIFICATIONS

• Required Qualifications: The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• 1. Bachelor's degree with a concentration in business or equivalent work experience
• 2. New York adjuster license or New York attorney license
• 3. Three years of Claims handling experience and commercial and multi-line knowledge
• 4. Ability to critically review a claim file for relevant information, accurately access the information and make necessary recommendations
• 5. Ability to make independent decisions following CRC guidelines with minimal or no supervision
• 6. Good organizational, time management, and detail skills
• 7. Extensive knowledge of insurance and CRC processes
• 8. Ability to maintain a high level of tact and professionalism
• 9. Good leadership skills to influence all departmental employees in a positive manner
• 10. Possess strong interpersonal skills
• 11. Strong verbal and written communication skills
• 12. Strong computer and office skills
• 13. Ability to work extended hours when necessary

Preferred Qualifications:

• 1. Experience handling claims involving New York Labor Law Sections 200, 240(1) and 241(6)
• 2. Experience in the Construction and E&S Claim Environment with a high degree of specialized and technical competence in interpreting general liability policies and exposures for both bodily injury and property damage claims.
• The annual base salary for this position is $120,000.00 - $140,000.00.
• 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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