Senior Complex Claims Strategist

Crawford & Company; California (MO); On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Medical/Dental/Vision

401(k) plan

Tuition assistance

Paid parental leave

Wellness programs

Job summary

Crawford & Company is seeking an experienced Senior Complex Claims Adjuster to investigate and settle large loss claims with minimal supervision. You will review coverages, determine liability, secure information, and set reserves using independent judgment.

In this role, you will mentor new hires, collaborate with attorneys, and contribute to trainings while handling complex claims with accuracy and efficiency.

Qualifications

• Bachelor's degree or equivalent experience required. Industry designations preferred but not required (IIA, AIC, AEI and/or CPCU).
• Technical claims investigations/settling experience with 4-8 years experience 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 effectively interact with all levels of internal and external clients.
• Workers Compensation (WC) Adjuster License required according to 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 work

Communication skills

Negotiation skills

Presentation skills

Analytical skills

Interpersonal skills

Policy interpretation

Education

Bachelor's degree or equivalent experience

Job description

Crawford & Company is seeking an experienced Senior Complex Claims Adjuster to investigate and settle large loss claims with minimal supervision. You will review coverages, determine liability, secure information, and set reserves using independent judgment.

In this role, you will mentor new hires, collaborate with attorneys, and contribute to trainings while handling complex claims with accuracy and efficiency.