Claim Examiner- Liab

Crawford & Company; Peachtree Corners (GA); Remote; USD 55,000 - 75,000; Full time

Job summary

Crawford & Company in Peachtree Corners, GA is seeking an experienced claims professional to investigate, evaluate, negotiate, and settle moderate difficulty claims. The role emphasizes prompt, equitable settlement under supervision and requires the ability to work independently while handling complex technical subject matter.

Minimum Bachelor’s degree or equivalent, 1–3 years of claims experience, and strong communication and analytical skills.

Qualifications

• Bachelor's degree or equivalent experience.
• 1-3 years claims investigations/settling experience.
• Ability to work independently.
• Strong verbal and written communication skills.
• Ability to gather, analyze information and decide actions.
• Strong problem solving abilities.
• Interpersonal skills to deal with external sources and employees.
• Industry designations preferred (IIA, AIC, AEI, CPCU).
• License requirements per state/jurisdiction.

Responsibilities

• Receives claim assignment, confirms policy coverages and directs acknowledgement of claims.
• Interprets and makes independent judgments on moderate difficulty claims and policy coverages.
• Investigates, evaluates, negotiates and adjudicates first and third party claims to determine validity and extent of damage by telephone with clients, claimants, witnesses or other parties as required.
• Analyzes claims activity and prepares reports for clients/carriers and management.
• Establishes reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims cost-effectively.
• Makes settlement decisions promptly and issues company drafts within authority limits.
• Develops subrogation and third party recovery potential and follows reclaim procedures.
• Analyzes claims activities and participates in claim reviews.

Skills

Claims investigations

Independent work

Communication skills

Analytical skills

Interpersonal skills

Insurance designations

Licensing requirements

Education

Bachelor's degree or equivalent experience

Job description

Investigate, evaluate, negotiate, and settle moderate difficulty type claims; takes appropriate action to achieve results that have a positive impact on profitability. Settle claims for assigned lines of business promptly and equitably under general supervision.

• Bachelor's degree or equivalent experience required.
• Comprehensive claims investigations/settling experience with 1-3 years experience in Claims or similar organization.
• Ability to work independently while assimilating various technical subjects.
• Good verbal and written communication skills.
• Demonstrated ability to gather and analyze information, determine a course of action and implement the selected course of action.
• Strong ability to identify, analyze and solve problems.
• Effective interpersonal skills to be capable of dealing with external sources and all levels of employees.
• Industry Designations: Preferred: IIA, AIC, AEI, and/or CPCU.
• License Requirements: Per State or Jurisdictional requirements.
  #LI-ET1 #LI-Remote

• ; Receives claim assignment, confirms policy coverages and directs acknowledgement of claims.
• ; Interprets and makes decisions using independent judgment on moderate difficulty claims and policy coverages and determines if coverages apply to claims submitted.
• ; Investigates, evaluates, negotiates and adjudicates first and third party claims to determine validity and verify extent of damage by telephone contact with clients, claimants, witnesses or other parties as required.
• ; 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.
• ; Make settlement decisions 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