Sr Claim Examiner- WC

Crawford & Company; Boise (ID); On-site; USD 65,000 - 100,000; Full time

Benefits offered by this job

Competitive base pay

Medical, Dental and Vision Plans

401(k) Retirement Plan

Tuition Assistance

Job summary

Crawford & Company is hiring a Sr. Claim Examiner – WC in Idaho. The role requires handling high‑stakes, large‑loss claims with independence to decide outcomes, reviewing coverages, reserves, and settlements.

Idaho license is mandatory, with background in independent investigations and complex claims essential. You will collaborate with supervisors and defense counsel, prepare cases for litigation, and mentor new staff in a fast‑paced environment.

Qualifications

• Bachelor's degree or equivalent experience required; industry designations encouraged but not required.
• Ability to work independently while handling complex, technical subjects.
• Strong written and oral communication, negotiation and presentation skills.
• Advanced analytical and problem solving abilities, with prioritization across projects.

Responsibilities

• Interprets coverage decisions using independent judgment on complex and unusual policy coverages.
• Manages investigative activity on complex claims and directs discovery and litigation strategy.
• Analyzes claims activity and prepares client/carrier reports.
• Establishes reserves and authorizes payments within authority; settles claims cost-effectively.
• Mentors and trains new team members; supports claim reviews.

Education

Bachelor's degree or equivalent experience

Independent work

Strong written and oral communication

Analytical problem solving

Interpersonal skills with clients

Job description

Job Description

We’re Hiring: Sr. Claim Examiner – WC (Idaho)

Ready to take on high‑stakes claims and make a real impact? We’re seeking an experienced Claims Adjuster who excels at handling advanced, large‑loss, and complex cases—with the independence to make sound decisions and the expertise to deliver fair, timely outcomes.

Important Requirement

Candidates must live within the state of Idaho and have an active Idaho Adjusting License.

What You’ll Do

• Review coverage, determine liability, and drive fair resolutions
• Secure critical information and arrange property damage appraisals
• Set reserves using sharp judgment and analytical expertise
• Partner with supervisors and defense attorneys to prepare cases for litigation
• Mentor and train new team members

If you excel in fast‑paced environments and love solving complex problems, this role is for you.

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.

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.

About Us

Why Crawford? Because a claim is more than a number - it’s a person, a child, a friend. It’s anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community - one claim at a time.

At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We’re looking for the next generation of leaders to take this journey with us.

We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com .

Education

When you accept a job with Crawford, you become a part of the One Crawford family. And as part of the One Crawford family, we offer a comprehensive Total Rewards package to our employees to assist with their financial, health/wellness, continuing education/training and other needs:

• Competitive base pay
• The Pay Range/Salary represents the anticipated low and high pay that may be offered for this position. To determine the actual offer, Crawford considers a wide range of factors including the candidate’s previous experience and education, market rates, minimum pay requirements for the applicable jurisdiction, business segment, supply/demand, and scheduled hours.
• Bonus/Incentive Pay and other Performance-Based Rewards, if applicable.
• 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

Other Benefits

• Virtual Physical Therapy
• Caregiving Services
• Life Assistance Program
• The above information highlights some of the benefits currently available to eligible full‑time employees.
• Training programs that promote continuous learning and career progression while enhancing job performance.
• Sustainability programs that give back to the communities in which we live and work.
• A culture of respect, collaboration, entrepreneurial spirit and inclusion.

Crawford & Company participates in E-Verify and is an Equal Opportunity Employer.

M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.