Sr Claim Examiner- WCRequisition ID 2023-21809 Job Locations US Position
Type Regular Full-Time Category Claims Business Unit BUS_TPA
USExcellence In Everything We TouchPosition SummaryGREAT WORK FROM HOME
CAREER OPPORTUNITY!Monthly Bonus Program!Candidates must have experience
handling Colorado WC claims!Investigate and settle advanced, large loss,
complex claims promptly and equitably under minimal supervision. Works
within established authority on moderate-to-difficult claims. Reviews
coverages, determines liability and compensability, secures information,
arranges property damage appraisals and settles claims utilizing claims
best practices. Evaluates and sets reserves using independent judgment.
Assists supervisor and company attorneys in preparing cases for
litigations. Conducts training and mentors new
hires.ResponsibilitiesInterprets and makes decisions using independent
judgment on more complex and unusual policy coverages and determines if
coverages apply to claims submitted.Manages all aspects of investigative
activity on complex claims. Directs the discovery and litigation
strategy with legal counsel.Analyzes claims activity and prepares
reports for clients/carriers and management.Establish reserves, using
independent judgment and expertise and authorizes payments within scope
of authority, settling claims in the most cost effective manner and
ensuring timely issuance of disbursements.Settles claims promptly and
equitably and issues company drafts in payments for claims within
authority limits.Develops subrogation and third party recovery potential
and follows reclaim procedures.Analyzes claims activities and prepares
reports for clients, carriers and/or management. Participates in claim
reviews.RequirementsTechnical claims investigations/settling experience
with 4-8 years experience in Claims or similar organization.Workers
Compensation (WC) Adjuster License required according to jurisdictional
requirements.Ability to work independently while assimilating various
technical subjects.Strong written and oral communication, negotiation
and presentation skills.Advanced analytical and problem solving skills,
with the ability to manage and prioritize multiple
projects.Preferred:Industry designations such as IIA, AIC, AEI and/or
CPCUAbout UsWhy Crawford?Because a claim is more than a number - it\'s a
person, a child, a friend. It\'s anyone who looks to Crawford on their
worst days. And by helping to restore their lives, we are helping to
restore our community - one claim at a time.At Crawford, employees are
empowered to grow, emboldened to act and inspired to innovate. Our
industry-leading team pioneers new solutions for the industries and
customers we serve. We\'re looking for the next generation of leaders to
take this journey with us.We hail from more than 70 countries and speak
dozens of languages, reflecting the global fabric of the audience we
serve. Though our reach is vast, we proudly operate as One Crawford:
united in purpose, vision and values. Learn more at www.crawco.com.When
you accept a job with Crawford, you become a part of the One Crawford
family.Our total compensation plans provide each of our employees with
far more than just a great salaryPay and incentive plans that... For
full info follow application link.Crawford & Company participates in
E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford &
Company is not accepting unsolicited assistance from search firms for
this employment opportunity. All resumes submitted by search firms to
any employee at Crawford via-email, the Internet or in any form and/or
method without a valid written Statement of Work in place for this
position from Crawford HR/Recruitment will be deemed the sole property
of Crawford. No fee will be paid in the event the candidate is hired by
Crawford as a result of the referral or through other means.