Senior Workers' Comp Claims Specialist

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

Benefits offered by this job

Medical, Dental and Vision Plans

401(k) Retirement Plan

Tuition Assistance

Paid Parental Leave

Paid Holidays and Vacation

Job summary

Crawford & Company in Hauppauge, NY, is seeking an experienced Senior Claims Adjuster to investigate and settle advanced, large loss, complex claims promptly under minimal supervision. You will review coverages, determine liability, arrange property damage appraisals, set reserves, and assist attorneys.

The role emphasizes independence, analytical skills, and effective communication. 4–8 years in claims and a valid WC license where required by jurisdiction are preferred.

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.
• Establishes 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

Communication skills

Negotiation

Presentation skills

Analytical skills

Interpersonal skills

Claims investigations

Education

Bachelor's degree or equivalent experience

Industry designations (IIA, AIC, AEI, CPCU)

Job description

Crawford & Company in Hauppauge, NY, is seeking an experienced Senior Claims Adjuster to investigate and settle advanced, large loss, complex claims promptly under minimal supervision. You will review coverages, determine liability, arrange property damage appraisals, set reserves, and assist attorneys.

The role emphasizes independence, analytical skills, and effective communication. 4–8 years in claims and a valid WC license where required by jurisdiction are preferred.