Senior Claim Examiner: Complex & Large-Loss Expert

Crawford & Company; Hauppauge (NY); On-site; USD 90,000 - 140,000; Full time

Benefits offered by this job

Medical, Dental and Vision Plans

401(k) Retirement Plan

Tuition Assistance

Paid Holidays, Vacation and Sick Leave

Paid Parental Leave

Job summary

Crawford & Company is seeking a claims professional in New York to investigate and settle advanced, large loss, and complex claims with minimal supervision. The role involves reviewing coverages, determining liability, securing information, arranging appraisals, and settling claims using best practices.

Qualifications include a bachelor’s degree or equivalent, 4–8 years of technical claims experience, strong communication, analytical, and interpersonal skills, and preferred industry

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.

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.
• 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

Independent work

Communication skills

Analytical thinking

Interpersonal skills

Negotiation

Litigation coordination

Education

Bachelor's degree or equivalent experience

Job description

Crawford & Company is seeking a claims professional in New York to investigate and settle advanced, large loss, and complex claims with minimal supervision. The role involves reviewing coverages, determining liability, securing information, arranging appraisals, and settling claims using best practices.

Qualifications include a bachelor’s degree or equivalent, 4–8 years of technical claims experience, strong communication, analytical, and interpersonal skills, and preferred industry