Complex Claims Adjuster

Claims Adjuster Process claims, which includes evaluating policy for coverage; working with the insured, outside adjusters, agents and attorneys on the claim and coordinating the payment of claims. In addition, prepare reports such as loss runs and monthly bordereau. Essential Duties And Responsibilities Review policy to determine if loss is covered. If questionable, then hire attorney for coverage counsel for coverage analysis. Settle claims within settlement authority, where applicable. Work with adjusters, insureds, attorneys, agents and others to assure the claim is handled efficiently and professionally. Attend mediations, when applicable and negotiate settlement within authority. Oversight of vendors (attorneys/adjusters/experts) for accuracy in reporting. Audit invoices for accuracy. Process incoming and outgoing claims and vendor payments. Maintain loss fund. Must review and recommend policy wording changes. Perform claim status requests and updates. Prepare daily, weekly and monthly reports. Travel for meetings with clients, mediations and underwriters. Approximately 25% of time will be out of the office. Qualifications Required Qualifications: High School Diploma College degree or equivalent work experience Claims Adjuster's license Good organizational/time management skills Ability to work under time constraints and meet deadlines Strong verbal and written communications skills Ability to operate a computer, calculator, multi-line phone, fax machine, copier and other office equipment Knowledge and use of correct spelling and grammar Ability to write legibly Ability to effectively interact with employees at all levels of the organization and with a variety of people from diverse backgrounds Ability to adhere to all organizational policies and procedures Demonstrated proficiency in basic computer applications, such as Microsoft Office software products Ability to travel, occasionally overnight Preferred Qualifications: Previous administrative support experience 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.

Created: 2026-04-01