Complex Claims Manager - Construction Defect

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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:

The Claims Senior Professional manages complex claims processes, including investigating, evaluating, and resolving high-severity claims in compliance with company standards and regulations. This role serves as a technical expert, offers guidance to junior team members, and collaborates with internal and external stakeholders to ensure effective and timely claims handling.

KEY 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.

​​• Handle high-complexity and high-value claims from intake through resolution. 

• Conduct comprehensive coverage analysis and determine liability exposure. 
• Negotiate settlements within authority limits and in alignment with organizational objectives. 
• Provide guidance, mentoring, and technical expertise to less experienced claims staff. 
• Collaborate with legal counsel, brokers, and insured clients to ensure proper claim resolution. 
• Ensure adherence to organizational standards, regulatory requirements, and industry best practices. 
• Prepare and present reports on claim status, trends, and risk exposure to management.​

EDUCATION AND EXPERIENCE

The requirements listed below are representative of the knowledge, skill and/or ability required.  Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

​​• Bachelor’s degree in business, finance, insurance, or related field. 

• Minimum of 5+ years of experience in claims handling or related insurance discipline. 
• Prior experience managing complex or high-severity claims preferred. 
• Experience with litigation management and settlement negotiation.​

CERTIFICATIONS / LICENSES / REGISTRATIONS

​​• Adjuster license as required by jurisdiction. 

• Industry certifications such as CPCU or AIC preferred but not mandatory.​

FUNCTIONAL SKILLS

​​• Advanced knowledge of insurance policies, coverages, and claims processes. 

• Proficiency in claims management systems and related technology tools. 
• Strong analytical and problem-solving skills for evaluating complex claim scenarios. 
• Effective negotiation skills with demonstrated ability to influence outcomes. 
• Excellent written and verbal communication skills for diverse stakeholder engagement. 
• Ability to manage multiple priorities and meet strict deadlines under pressure.​

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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