Senior Claim Examiner - Complex Losses & Litigation Prep

Crawford & Company; Dedham (MA); Presencial; USD 85.000 - 115.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Competitive base pay

Medical, dental and vision plans

401(k) retirement plan

Paid holidays and vacation

Descripción de la vacante

Crawford & Company is seeking an experienced Claims Professional to investigate and settle advanced, large loss and complex claims with minimal supervision in a Massachusetts setting.

The role emphasizes reviewing coverages, determining liability and reserving with independent judgment, while supporting supervisors and attorneys in litigation preparation and mentorship of new hires. A WC adjuster license is required where applicable.

Formación

• Bachelor's degree or equivalent experience required; industry designations preferred but not required (IIA, AIC, AEI and/or CPCU).
• 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.
• Workers Compensation (WC) Adjuster License required according to jurisdictional requirements

Responsabilidades

• 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.

Conocimientos

Independent judgment

Negotiation

Presentation skills

Communication skills

Analytical thinking

Problem solving

Interpersonal skills

Educación

Bachelor's degree or equivalent experience

Workers Compensation Adjuster License

Descripción del empleo

Crawford & Company is seeking an experienced Claims Professional to investigate and settle advanced, large loss and complex claims with minimal supervision in a Massachusetts setting.

The role emphasizes reviewing coverages, determining liability and reserving with independent judgment, while supporting supervisors and attorneys in litigation preparation and mentorship of new hires. A WC adjuster license is required where applicable.