Sr Claim Examiner-WC (CA)

Crawford & Company; California, Brea (MO, CA); On-site; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a skilled Claims Manager to oversee complex Workers Compensation Claims in California. This role offers the opportunity to make a significant impact by restoring lives and supporting the community. The ideal candidate will have extensive experience in claims management, strong analytical abilities, and excellent communication skills. Join a global team that values innovation and personal growth, and enjoy a culture of respect and inclusion. This is a chance to thrive in a supportive environment while making a difference in people's lives.

Benefits

Bonus Opportunities

Great Employee Benefits

Employee Discounts

Ongoing Training

Community Giving Programs

Qualifications

• 4-8 years of experience in claims investigations and settlements.
• Strong analytical and problem-solving abilities.

Responsibilities

• Investigate and settle complex claims under minimal supervision.
• Evaluate claims activity and prepare reports for clients and management.
• Conduct training and mentor new hires.

Skills

Claims Management

Negotiation Skills

Analytical Skills

Communication Skills

Problem-Solving Skills

Education

Bachelor's Degree

Job description

Job Description

Candidates must have extensive experience managing California Workers Compensation Claims.

SIP certification is a requirement.

We offer bonus opportunities, great employee benefits, and multiple employee discounts.

Responsibilities

1. Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision.
2. Review coverages, determine liability and compensability, secure information, arrange property damage appraisals, and settle claims using best practices.
3. Evaluate and set reserves using independent judgment.
4. Assist supervisors and defense attorneys in preparing cases for litigation.
5. Conduct training and mentor new hires.
6. Interpret and make decisions on complex and unusual policy coverages.
7. Manage all investigative activities on complex claims and coordinate with legal counsel on discovery and litigation strategy.
8. Analyze claims activity and prepare reports for clients, carriers, and management.
9. Establish reserves, authorize payments within scope of authority, and settle claims cost-effectively and timely.
10. Develop subrogation and third-party recovery potentials and follow reclaim procedures.

Minimum Qualifications

• Bachelor's degree or equivalent experience.
• 4-8 years of technical claims investigations/settling experience.
• Ability to work independently and assimilate technical subjects.
• Strong communication, negotiation, and presentation skills.
• Advanced analytical and problem-solving skills.
• Effective interpersonal skills for interaction at all levels.
• Preferred industry designations: IIA, AIC, AEI, CPCU.
• License requirements as per jurisdiction, including Workers Compensation Adjuster License.

Why Crawford?

Because a claim is more than a number — it's a person, a child, a friend. Helping to restore lives helps restore our community, one claim at a time.

At Crawford, employees are empowered to grow, act, and innovate. Join our global team from over 70 countries, united as One Crawford, dedicated to purpose, vision, and values. Learn more at www.crawco.com.

When you join Crawford, you become part of the One Crawford family, with compensation plans that recognize performance, benefit programs for wellness, ongoing training, community giving, and a culture of respect and inclusion.

Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. Unsolicited resumes from search firms will not be accepted without a valid Statement of Work. No fee is payable unless the candidate is hired through a formal referral process.