Senior Claims Specialist – Medical & Liability

Crawford Job Listings - Global; Boise (ID); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Medical plans

Dental plans

Vision plans

Paid holidays

401(k) plan

Tuition assistance

Paid parental leave

Mental health support

Job summary

Crawford & Company in Boise, Idaho, seeks a full-time Administrative Support role handling non-complex short-term medical claims. You will administer, document, and close files while making decisions within delegated authority.

This position requires professional communication with claimants and medical providers. Responsibilities include investigating coverage, confirming reserves, and handling payments up to $2,500 after eligibility is established.

Qualifications

• Knowledge of claims policies and procedures.
• Effective written and verbal communication skills.
• Customer-focused approach and ability to identify needs.

Responsibilities

• Investigates claims to confirm coverage and liability.
• Verifies policy coverage and determines reserve requirements.
• Identifies wage loss expenses on medical claims.
• Interacts with claimants, witnesses and medical professionals.
• Approves medical bill payments up to $2,500 after compensability is determined.

Skills

Claims processing

Communication skills

Licensing requirements

Medical terminology

Education

College degree

Associate in Claim designation

Job description

Crawford & Company in Boise, Idaho, seeks a full-time Administrative Support role handling non-complex short-term medical claims. You will administer, document, and close files while making decisions within delegated authority.

This position requires professional communication with claimants and medical providers. Responsibilities include investigating coverage, confirming reserves, and handling payments up to $2,500 after eligibility is established.