Senior Claims Examiner - Workers Compensation

Crawford & Company; California (MO); Remote; USD 60,000 - 90,000; Full time

Job summary

An established industry player is seeking a Senior Claims Examiner to manage complex workers' compensation claims. This role offers a unique opportunity to work from home while making a significant impact on individuals' lives during challenging times. You will investigate and settle claims, utilizing your analytical and negotiation skills to ensure fair outcomes. Join a team that values collaboration and innovation, empowering you to grow and excel in your career. With generous benefits and a supportive culture, this position is perfect for someone looking to make a difference in the insurance sector.

Benefits

Bonus Opportunities

Generous Employee Benefits

Multiple Employee Discounts

Training programs for continuous learning

Sustainability initiatives

Qualifications

• 4-8 years of experience in Claims or similar organization.
• Workers Compensation Adjuster License required.

Responsibilities

• Investigate and settle complex claims promptly and equitably.
• Manage all aspects of investigative activity on complex claims.
• Analyze claims activity and prepare reports for clients and management.

Skills

Technical claims investigations

Analytical skills

Negotiation skills

Problem-solving skills

Communication skills

Education

Bachelor's degree

Job description

Join to apply for the Senior Claims Examiner - Workers Compensation role at Crawford & Company

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.

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.
• Establishes reserves, using independent judgment and expertise, and authorizes payments within scope of authority, settling claims in the most cost-effective manner and ensuring timely disbursements.
• Settles claims promptly and equitably, issuing company drafts within authority limits.
• Develops subrogation and third-party recovery potential and follows reclaim procedures.
• Analyzes claims activities and prepares reports for clients, carriers, and management. Participates in claim reviews.

Qualifications

• Bachelor's degree or equivalent experience.
• Technical claims investigations/settling experience with 4-8 years in Claims or similar organization.
• Workers Compensation (WC) Adjuster License required per jurisdiction.
• Ability to work independently while assimilating technical subjects.
• Strong written and oral communication, negotiation, and presentation skills.
• Advanced analytical and problem-solving skills, with the ability to manage multiple projects.

Preferred

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

About Us

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 join 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 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 include:

• Pay and incentive plans that recognize performance excellence
• Benefit programs that promote financial, physical, and mental wellness
• Training programs for continuous learning and career growth
• Sustainability initiatives that give back to our communities
• A culture of respect, collaboration, entrepreneurial spirit, and inclusion

Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. No unsolicited assistance from search firms will be accepted without a valid Statement of Work from Crawford HR/Recruitment. Resumes submitted without this will be deemed property of Crawford. No fee will be paid if the candidate is hired through such means.

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Finance and Sales
• Industries: Insurance

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