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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. Acts as a liaison between insured and insurance carrier to report, track and manage claims process.
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.
Evaluate claims, reporting forms and cancellations and initiate necessary corrections to ensure accuracy of dates, coverage, signature, commission, premium, attachments, etc.
Authenticate all relevant activity on assigned files and makes recommendation for additional activity as appropriate.
Determine where new loss claims should be reported.
Manage all claim documentation.
Use discretion to submit the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately.
Analyze claim coverage with insurance carriers to ensure claims are paid accurately.
Assess eligibility status of denied claims.
Anticipate and meets all customer needs (both internal and external).
Maintain claims and suspense system ensuring follow-up for receipt of policies, endorsements, inspections reports, correspondence, claims, etc. from outside sources.
Process all departmental claims in a timely manner according to company policy.
Facilitate the training of new employees in the department.
Provide supervision to Claims Assistants.
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.
Bachelor's degree with a concentration in business or equivalent work experience
Three years of Claims handling experience and commercial and multi-line knowledge
Ability to critically review a claim file for relevant information, accurately access the information and make necessary recommendations
Ability to make independent decisions following CRC guidelines with minimal or no supervision
Good organizational, time management, and detail skills
Extensive knowledge of insurance and CRC processes
Ability to maintain a high level of tact and professionalism
Good leadership skills to influence all departmental employees in a positive manner
Possess strong interpersonal skills
Strong verbal and written communication skills
Strong computer and office skills
Ability to work extended hours when necessary
Extensive Experience handling NY Labor Law Claims
Preferred Qualifications:
Adjusting experienceThe annual base salary for this position is $125,000 - $155,000.
General Description of Available Benefits for Eligible Employees of Truist Financial Corporation: 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 Truist offering the position. Truist 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 Truist’s generous benefit plans, please visit our Benefits site (https://benefits.truist.com/) . Depending on the position and division, this job may also be eligible for Truist’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)
CRC Group is one of the largest wholesale and specialty insurance product distributors in the United States, providing data-driven insurance solutions for property and casualty, executive and professional, group and individual, and other specialty insurance programs. Learn more at www.crcgroup.com .