Litigation Claims Adjuster – Complex

Job not on LinkedIn

🔥 17 hours ago

🐊 Florida, New Mexico, +3 more states – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

👻 Ghost score 10%

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Logo of CRC Insurance Services

CRC Insurance Services

1001 - 5000 employees

Founded 1982

🏨 Hospitality

🏭 Manufacturing

📦 Logistics

Hospitality • Manufacturing • Logistics

CRC Insurance Services is a comprehensive insurance brokerage firm specializing in wholesale insurance solutions. They offer a broad range of services including property, casualty, and professional liability coverage, focusing on providing tailored solutions for various industries such as construction, healthcare, and environmental sectors. By leveraging extensive market access and expert knowledge, CRC aims to meet the unique needs of its clients, ensuring they receive optimal insurance protection and support.

📋 Description

• Investigate, assess, and resolve complex claims within authority limits • Analyze policy coverage and liability to determine appropriate claim outcomes • Develop and execute strategies to mitigate potential financial risk exposure • Collaborate with legal counsel, underwriters, and external vendors • Prepare comprehensive reports and documentation for claim decisions • Ensure all regulatory requirements and compliance standards are met • Manage communications with clients, brokers, and internal stakeholders throughout the claims process • Participate in audits and quality control reviews • Contribute to process improvement initiatives within the claims department • Mentor and provide guidance to less experienced team members

🎯 Requirements

• English language fluency required • 5 or more years of experience handling claims, preferably in specialty or complex lines • Demonstrated expertise in managing complex or high-risk claims scenarios • Experience working with brokers, legal professionals, and regulatory agencies • Must hold and maintain all required licenses in all U.S. states where licensing is required to perform the duties • Bachelor’s degree in business, insurance, risk management, or related field is preferred • Experience handling litigated commercial auto/trucking claims • Experience with catastrophic injury and wrongful death claims • Advanced claims analysis and adjudication techniques • Knowledge of FMCSA regulations and transportation industry operations • Strong negotiation and settlement skills • Proficiency in policy interpretation, risk assessment, and regulatory compliance • Proficiency with claims management systems and related technology platforms

🏖️ Benefits

• Medical, dental, vision, life, disability, and AD&D insurance • Tax-advantaged savings accounts • 401(k) plan with company match • Paid company holidays • Vacation and sick days • New parent leave • Restricted stock units for eligible positions • Deferred compensation plan for eligible positions

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