Remote Senior WC Claims Examiner - California

Crawford & Company; United States; Remote; USD 90,000 - 130,000; Full time

Benefits offered by this job

Great Work From Home Opportunity

Excellent Crawford Benefits

Great Bonus Opportunity

Generous Employee Referral Bonus

Access to Multiple Employee Discounts

Job summary

Crawford & Company in California seeks a Senior Claims Examiner - Workers Compensation to investigate, evaluate, and resolve advanced, large-loss and complex WC claims with a high degree of autonomy.

You will analyze compensability, determine liability, manage reserves, and negotiate settlements, collaborating with defense counsel and mentoring new hires. SIP Certification required and proven CA WC claims experience.

Qualifications

• Bachelor's degree or equivalent experience required.
• Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization.
• 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.
• Effective advanced interpersonal skills to effectively interact with all levels of internal and external clients.
• Industry Designations: Preferred: IIA, AIC, AEI, and/or CPCU.
• License Requirements: Per State or Jurisdictional requirements.
• Workers Compensation (WC) Adjuster License required according to jurisdictional requirements

Responsibilities

• Interprets 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.

Skills

Communication

Analytical skills

Independent work

Negotiation

Presentation

Education

Bachelor's degree or equivalent experience

Tools

SIP Certification

WC Adjuster License

Job description

Crawford & Company in California seeks a Senior Claims Examiner - Workers Compensation to investigate, evaluate, and resolve advanced, large-loss and complex WC claims with a high degree of autonomy.

You will analyze compensability, determine liability, manage reserves, and negotiate settlements, collaborating with defense counsel and mentoring new hires. SIP Certification required and proven CA WC claims experience.