Senior Claims Examiner - Workers Compensation

Crawford & Company; Atlanta (GA); Remote; USD 50,000 - 90,000; Full time

Job summary

An established industry player is seeking a Claims Manager to handle complex claims with independence and expertise. This remote role offers the chance to make a real difference in people's lives by restoring their sense of security during difficult times. You will utilize your analytical and negotiation skills to manage claims effectively, while also mentoring new hires and contributing to a collaborative team environment. Join a company that values your growth and provides generous benefits, including bonus opportunities and employee discounts, all while empowering you to innovate and make an impact in the community.

Benefits

Generous Employee Benefits

Bonus Opportunities

Multiple Employee Discounts

Training Programs

Sustainability Programs

Qualifications

• 4-8 years of experience in claims management or similar roles.
• Strong written and oral communication skills are essential.

Responsibilities

• Investigate and settle complex claims promptly and equitably.
• Manage all aspects of investigative activity on complex claims.

Skills

Claims Management

Analytical Skills

Communication Skills

Negotiation Skills

Problem Solving

Education

Bachelor's Degree

Workers Compensation Adjuster License

Job description

• WORK FROM HOME OPPORTUNITY!


• Candidates must have experience managing IL & IN WC claims.


• Bonus Opportunities!


• Generous Employee Benefits!


• Multiple Employee Discounts!

Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established authority on moderate-to-difficult claims. Reviews coverages, determines liability and compensability, secures information, arranges property damage appraisals and settles claims utilizing claims best practices. Evaluates and sets reserves using independent judgment. Assists supervisor and company attorneys in preparing cases for litigations. Conducts training and mentors new hires.

• 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.

• Bachelor's degree or equivalent experience.
• Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization.
• Workers Compensation (WC) Adjuster License required according to jurisdictional requirements.
• 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.

Preferred:

• Industry designations such as IIA, AIC, AEI and/or CPCU

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.



When you accept a job with Crawford, you become a part of the One Crawford family.



Our total compensation plans provide each of our employees with far more than just a great salary

• Pay and incentive plans that recognize performance excellence


• Benefit programs that empower financial, physical, and mental wellness


• 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.