Sr Claim Examiner-Liability

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.
• Evaluates and sets 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.
• 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.

About Us

We’re looking for a Senior Claims Examiner – Liability with a passion for claims management to join our team! Why Join Crawford & Company? Great Work From Home Opportunity, Excellent Crawford Benefits that Empower Financial, Physical, and Mental Wellness, Great Bonus Opportunity, Access to Multiple Employee Discounts.

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, Bonus/Incentive Pay and other Performance-Based Rewards, if applicable. We offer a well-rounded benefits package that encourages wellness and helps our employees to be an educated healthcare consumer. The core benefits* offered include: - 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 currently available at no cost include: - Enhanced Mental Health Support 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.