Senior Complex Claims Examiner

Crawford & Company; Fairfax (VA); In loco; USD 90.000 - 120.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical, Dental and Vision Plans

Prescription Drugs

HSA, HRA, and FSA Accounts

Paid Holidays, Vacation and Sick Leave

401(k) Retirement Plan

Tuition Assistance

Paid Parental Leave

Supplemental Health Benefits

Enhanced Mental Health Support

Virtual Physical Therapy

Caregiving Services

Life Assistance Program

Descrizione del lavoro

Crawford & Company is hiring an experienced claims professional in the United States to investigate and settle advanced, large loss claims with minimal supervision. The role requires reviewing coverages, evaluating liability, securing information, and setting reserves while collaborating with supervisors and attorneys.

The ideal candidate has a Bachelor’s degree or equivalent, 4–8 years in claims, and strong written and verbal communication skills. WC license may be required by jurisdiction.

Competenze

• Bachelor's degree or equivalent experience required.
• Industry designations preferred but not required (IIA, AIC, AEI and/or CPCU).
• 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.

Mansioni

• 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.

Conoscenze

Independent judgment

Complex claims

Negotiation skills

Analytical thinking

Effective communication

Team mentorship

Formazione

Bachelor's degree or equivalent

Industry designations (IIA/AIC/CPCU) optional

Descrizione del lavoro

Crawford & Company is hiring an experienced claims professional in the United States to investigate and settle advanced, large loss claims with minimal supervision. The role requires reviewing coverages, evaluating liability, securing information, and setting reserves while collaborating with supervisors and attorneys.

The ideal candidate has a Bachelor’s degree or equivalent, 4–8 years in claims, and strong written and verbal communication skills. WC license may be required by jurisdiction.