Senior Complex Claims Specialist

Crawford & Company; California (MO); On-site; USD 75,000 - 110,000; Full time

Benefits offered by this job

Medical, Dental and Vision Plans

401(k) Retirement Plan

Tuition Assistance

Paid Holidays, Vacation and Sick Leave

Job summary

Crawford & Company is seeking an experienced claims professional to investigate and settle advanced, large loss and complex claims under minimal supervision. You will collaborate with attorneys, evaluators and clients to determine liability, set reserves and pursue subrogation opportunities.

The role requires 4–8 years of technical claims experience, strong communication and analytical skills, and the ability to work independently in a fast-paced environment.

Qualifications

• Bachelor's degree required; industry designations preferred but not required (IIA, AIC, AEI and/or CPCU)
• Technical claims investigations/settling experience with 4-8 years 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 interact with all levels of internal and external clients
• Workers Compensation (WC) Adjuster License required per jurisdictional requirements

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.
• 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.

Skills

Independent judgment

Clear communication

Negotiation skills

Analytical thinking

Problem solving

Presentation skills

Education

Bachelor's degree or equivalent experience

Industry designations preferred (IIA, AIC, AEI and/or CPCU)

Job description

Crawford & Company is seeking an experienced claims professional to investigate and settle advanced, large loss and complex claims under minimal supervision. You will collaborate with attorneys, evaluators and clients to determine liability, set reserves and pursue subrogation opportunities.

The role requires 4–8 years of technical claims experience, strong communication and analytical skills, and the ability to work independently in a fast-paced environment.