Remote Senior WC Claims Examiner - California Expert

Crawford & Company; United States; Remote; USD 90,000 - 120,000; Full time

Benefits offered by this job

WFH opportunity

Employee benefits

Bonus opportunity

Referral bonus

Employee discounts

Job summary

Crawford & Company is seeking a Senior Claims Examiner - Workers Compensation for the California market. The role emphasizes independent investigations, advanced claim management, and negotiation with defense counsel. Strong analytical, communication, and leadership abilities are essential.

The ideal candidate has SIP certification and a track record handling complex CA WC claims, with 4–8 years in claims. A bachelor’s degree or equivalent experience is required.

Qualifications

• Bachelor's degree or equivalent experience.
• 4-8 years of technical claims investigations/settling experience.
• Ability to work independently while assimilating various technical subjects.
• Strong written and oral communication, negotiation and presentation skills.
• Advanced analytical and problem-solving abilities.
• Strong interpersonal skills to interact with internal and external clients.
• License requirements per jurisdiction; WC adjuster license where required.
• Industry designations such as IIA, AIC, AEI, and/or CPCU are a plus.

Responsibilities

• Investigate, evaluate, and resolve advanced, large-loss, and complex Workers Compensation claims with a high degree of autonomy.
• Analyze compensability, determine liability, manage reserves, and negotiate claim settlements.
• Partner with defense counsel on litigated matters and mentor new hires.

Skills

SIP Certification

Large-loss handling

Complex cases

Negotiation

Education

Bachelor's degree or equivalent experience

Job description

Crawford & Company is seeking a Senior Claims Examiner - Workers Compensation for the California market. The role emphasizes independent investigations, advanced claim management, and negotiation with defense counsel. Strong analytical, communication, and leadership abilities are essential.

The ideal candidate has SIP certification and a track record handling complex CA WC claims, with 4–8 years in claims. A bachelor’s degree or equivalent experience is required.