Sr Claim Examiner- WC (Alabama)

Crawford & Company; New Orleans (LA); On-site; USD 75,000 - 95,000; Full time

Benefits offered by this job

Work From Home

Benefits package

Bonus opportunity

Employee referral bonus

Employee discounts

Job summary

Crawford & Company is seeking a Senior Claims Examiner - Workers Compensation (Alabama) to join our claims management team. You will handle advanced, large-loss WC claims with autonomy and work closely with defense counsel.

The ideal candidate has Alabama licensing, 4–8 years' experience, and strong analytical, negotiation, and communication skills. The role offers growth, mentoring opportunities, and exposure to complex cases within a global organization.

Qualifications

• Bachelor's degree or equivalent experience required.
• 4–8 years of claims or similar experience.
• WC Adjuster License required per jurisdiction.
• Strong written and oral communication, negotiation and presentation skills.

Responsibilities

• Investigate, evaluate, and resolve complex workers' compensation claims with final authority.
• Analyze compensability and liability, manage reserves, and negotiate settlements.
• Collaborate with defense counsel on litigated matters and mentor junior staff.
• Direct investigative activity and determine coverage on complex claims.
• Prepare reports for clients, carriers, and management.
• Develop subrogation and third-party recovery opportunities.

Skills

Analytical skills

Negotiation

Communication

Independent work

Time management

Education

Bachelor's degree or equivalent experience

Job description

Senior Claims Examiner - Workers Compensation (Alabama)

This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise.

Why Join Crawford & Company?

• Great Work From Home Opportunity
• Excellent Crawford Benefits that Empower Financial, Physical, and Mental Wellness
• Great Bonus Opportunity
• Generous Employee Referral Bonus Program
• Access to Multiple Employee Discounts

We're looking for a Senior Claims Examiner - Workers Compensation (Alabama) with a passion for claims management to join our team!

Essential Requirements

• Alabama Licensing is required
• Proven experience handling Alabama Workers Compensation claims
• Strong background in managing advanced, large-loss, and complex cases

Role Overview

• 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 by conducting training and mentoring new hires.

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.