Senior WC Claims Examiner — Remote (CA)

Crawford & Company; Peachtree Corners (GA); Remote; USD 90,000 - 130,000; Full time

Benefits offered by this job

Great Work From Home Opportunity

Excellent Crawford Benefits that Empow

Great Bonus Opportunity

Generous Employee Referral Bonus

Access to Multiple Employee Discounts

Job summary

Crawford & Company is hiring a Senior Claims Examiner for Workers Compensation in California. This role emphasizes independent investigation, evaluation, and resolution of complex claims with a high degree of autonomy.

Candidates should have strong analytical, negotiation, and communication skills, with experience handling large-loss WC claims. The position offers a remote work option, competitive benefits, and opportunities for mentoring new hires while collaborating with defense counsel on

Qualifications

• Bachelor's degree or equivalent experience required.
• 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.
• Industry Designations: Preferred: IIA, AIC, AEI, and/or CPCU.
• License Requirements: Per State or Jurisdictional requirements.
• Workers Compensation (WC) Adjuster License required according to jurisdictional requirements

Responsibilities

• Investigate, evaluate, and resolve advanced, large-loss, and complex Workers Compensation claims with a high degree of autonomy.
• Analyze compensability, determine liability, manage reserves, and negotiate claim settlements.
• Partner with defense counsel on litigated matters and support team development through training and mentoring new hires.
• 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

Analytical skills

Negotiation

Communication

Interpersonal skills

Claims management

WC claims experience

Litigation coordination

California WC knowledge

SIP Certification

Education

Bachelor's degree or equivalent experience

Job description

Crawford & Company is hiring a Senior Claims Examiner for Workers Compensation in California. This role emphasizes independent investigation, evaluation, and resolution of complex claims with a high degree of autonomy.

Candidates should have strong analytical, negotiation, and communication skills, with experience handling large-loss WC claims. The position offers a remote work option, competitive benefits, and opportunities for mentoring new hires while collaborating with defense counsel on