Claim Examiner- Liab

Crawford & Company; United States; On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health Insurance

Vision & Dental

401(k) Plan

Tuition Assistance

Parental Leave

Paid Holidays & Vacation

Job summary

Crawford & Company is seeking an experienced Claims Adjuster to investigate, evaluate, negotiate and settle moderate difficulty claims across assigned lines of business. You will work under general supervision, set reserves, and authorize payments within your authority to support profitability.

The role requires a bachelor’s degree or equivalent experience and 1-3 years in claims. Strong communication and independent work abilities are essential.

Qualifications

• Bachelor's degree required or equivalent experience.
• 1-3 years experience in claims or similar organization.
• Ability to work independently while assimilating various technical subjects.
• Good verbal and written communication skills.
• Analysis and decision-making capabilities.
• Strong problem-solving abilities.
• Effective interpersonal skills with external sources and all levels of employees.
• Industry designations preferred: IIA, AIC, AEI, CPCU.

Responsibilities

• 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.
• Investigates, evaluates, negotiates and adjudicates first and third party claims to determine validity.
• Analyzes claims activity and prepares reports for clients/carriers and management.
• Establishes reserves and authorizes payments within authority; settles claims cost-effectively.
• Makes settlement decisions promptly and issues company drafts within limits.
• Develops subrogation and third party recovery potential and follows reclaim procedures.
• Participates in claim reviews with clients, carriers and management.

Skills

Bachelor’s degree

Independent work

Communication skills

Problem solving

Interpersonal skills

Education

Bachelor's degree or equivalent

IIA / CPCU / AEI / AIC certifications

Job description

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.

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.

Responsibilities

• ; 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

Qualifications

• 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.

About Us

Why 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 .

Education

When you accept a job with Crawford, you become a part of the One Crawford family. And as part of the One Crawford family, we offer a comprehensive Total Rewards package to our employees to assist with their financial, health/wellness, continuing education/training and other needs:

• Competitive base pay

- The Pay Range/Salary represents the anticipated low and high pay that may be offered for this position. To determine the actual offer, Crawford considers a wide range of factors including the candidate’s previous experience and education, market rates, minimum pay requirements for the applicable jurisdiction, business segment, supply/demand, and scheduled hours.

• Bonus/Incentive Pay and other Performance-Based Rewards, if applicable.
• We offer a well-rounded benefits package that encourages wellness and helps our employees to be an educated healthcare consumer. The core benefits* offered include:

• Medical, Dental and Vision Plans
• Prescription Drugs
• HSA, HRA, and FSA Accounts
• Paid Holidays, Vacation and Sick Leave
• 401(k) Retirement Plan
• Tuition Assistance
• Paid Parental Leave
• Supplemental Health Benefits

Other Benefits

currently available at no cost include: - Enhanced Mental Health Support

• Virtual Physical Therapy
• Caregiving Services
• Life Assistance Program
• The above information highlights some of the benefits currently available to eligible full-time employees.
• Training programs that promote continuous learning and career progression while enhancing job performance.
• Sustainability programs that give back to the communities in which we live and work.
• A culture of respect, collaboration, entrepreneurial spirit and inclusion.

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.