Remote Complex Claim Manager - National Claim Services
CRC Insurance Services, Inc.
**The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one.**
_If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to_ Accessibility (careers@tihinsurance.com?subject=Accommodation%20request) _(accommodation requests only; other inquiries won't receive a response)._
**Regular or Temporary:**
Regular
**Language Fluency:** English (Required)
**Work Shift:**
1st Shift (United States of America)
**Please review the following job description:**
This role is focused on technical claim handling of complex general liability claims, both litigated and non-litigated. This role requires an individual to be accountable for the handling and disposition of claims including investigation, coverage determination, reserving, negotiation, and settlement or setting trial strategies.
**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. Responsible for managing and evaluating general liability claims affecting primary and excess policies in a fast-paced E&S Claim remote environment
2. Independently evaluating information on coverage, liability, and damages to determine the extent of exposure to the insured and all financial partners
3. Litigation Management - developing and executing litigation plans; managing lawsuits and legal budgets through resolution.
4. Determine where new loss claims should be reported.
5. Manage all claim documentation.
6. Use discretion to submit the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately.
7. Analyze claim coverage with insurance carriers to ensure claims are paid accurately.
8. Assess eligibility status of denied claims.
9. Anticipate and meets all customer needs (both internal and external). Providing outstanding customer service and fostering positive working relationships with insureds, brokers, and underwriters in the handling and adjudication of all claims
10. Handling complex claims from first notice of loss through ultimate resolution either through direct negotiations or trial; working with and advising internal and external financial partners
11. Maintain claims and suspense system ensuring follow-up for receipt of policies, endorsements, inspections reports, correspondence, claims, etc. from outside sources.
12. Analyze and execute risk transfer opportunities, draft reports, setting reserves within authority, and making claim recommendations concerning reserve changes.
13. Process all departmental claims in a timely manner according to company policy.
14. 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. Three years of Claims handling experience and commercial and multi-line knowledge
3. Ability to critically review a claim file for relevant information, accurately access the information and make necessary recommendations
4. Ability to make independent decisions following CRC guidelines with minimal or no supervision
5. Good organizational, time management, and detail skills
6. Extensive knowledge of insurance and CRC processes
7. Ability to maintain a high level of tact and professionalism
8. Good leadership skills to influence all departmental employees in a positive manner
9. Possess strong interpersonal skills
10. Strong verbal and written communication skills
11. Strong computer and office skills
12. Ability to work extended hours when necessary
**Preferred Qualifications:**
1. 10+ Complex Claims Adjusting experience at a carrier, TPA or I/A level
2. Property & Casualty Adjuster License(s) in multiple jurisdictions
3. TPA Oversight and management experience
4. Environmental Claims handling experience
**General Description of Available Benefits for Eligible Employees of TIH Insurance:** All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of TIH Insurance offering the position. TIH offers medical, dental, vision, life insurance, disability, accidental death and dismemberment, tax-preferred savings accounts, and a 401k plan to teammates. Teammates also receive no less than 10 days of vacation (prorated based on date of hire and by full-time or part-time status) during their first year of employment, along with 10 sick days (also prorated), and paid holidays. For more details on TIH's generous benefit plans, please visit our site (https://tihinsurance.com/careers) . Depending on the position and division, this job may also be eligible for TIH’s defined benefit pension plan, restricted stock units, and/or a deferred compensation plan. As you advance through the hiring process, you will also learn more about the specific benefits available for any non-temporary position for which you apply, based on full-time or part-time status, position, and division of work.
**_CRC 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 is a Drug Free Workplace._**
EEO is the Law (https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf) Pay Transparency Nondiscrimination Provision E-Verify (https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify\_Participation\_Poster\_ES.pdf)
Join CRC Group, a leader in specialty wholesale insurance, and take your career to new heights. We're a dynamic team dedicated to innovation, collaboration, and excellence.
Why CRC Group?
• Growth: Advance your career with our learning and leadership development programs.
• Innovation: Work in a forward-thinking environment that values new ideas.
• Community: Be part of a supportive team that celebrates success together.
• Benefits: Enjoy competitive compensation, health benefits, and retirement plans.
Who We’re Looking For
We seek passionate individuals who thrive in a fast-paced, collaborative environment. If you value integrity and are driven to succeed, CRC Group is the place for you.
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