Lead Claims Analyst

2 weeks ago

Dallas, Texas, United States Crawford & Company Full time

Commitment to Excellence

Position Overview

As a Senior Claims Examiner, you will be responsible for investigating and resolving intricate, high-value claims with efficiency and fairness, operating with minimal oversight. You will work within established guidelines on moderately challenging claims, reviewing coverage details, assessing liability and compensability, gathering necessary information, coordinating property damage evaluations, and settling claims in accordance with industry best practices. Your role will involve evaluating and determining reserves using your independent judgment, while also supporting supervisors and legal representatives in preparing cases for litigation. Additionally, you will provide training and mentorship to new team members.

Key Responsibilities

+ Utilize independent judgment to interpret and make decisions on complex and atypical policy coverages, assessing their applicability to submitted claims.

+ Oversee all investigative activities related to complex claims, guiding the discovery and litigation strategies in collaboration with legal counsel.

+ Conduct thorough analyses of claims activities and generate comprehensive reports for clients, carriers, and management.

+ Establish reserves based on your expertise and independent judgment, authorizing payments within your authority to ensure claims are settled in a cost-effective manner while facilitating timely disbursements.

+ Ensure prompt and fair settlement of claims, issuing company drafts for payments within your authorized limits.

+ Identify potential for subrogation and third-party recoveries, adhering to reclaim procedures.

+ Analyze claims activities and prepare detailed reports for clients, carriers, and management, actively participating in claims reviews.

Qualifications

+ A Bachelor's degree or equivalent experience is required.

+ A minimum of 4-8 years of technical claims investigation and settlement experience within a claims or similar organization.

+ Ability to work autonomously while assimilating various technical subjects.

+ Exceptional written and verbal communication, negotiation, and presentation skills.

+ Advanced analytical and problem-solving abilities, with a strong capacity to manage and prioritize multiple projects effectively.

+ Strong interpersonal skills to engage effectively with all levels of internal and external clients.

Preferred Qualifications

+ Professional designations such as IIA, AIC, AEI, and/or CPCU are preferred.

About Crawford & Company

At Crawford, we believe that a claim represents more than just a number; it embodies a person in need during challenging times. By assisting in the restoration of lives, we contribute to the revitalization of our communities, one claim at a time. Our employees are empowered to grow, encouraged to take initiative, and inspired to innovate. We are seeking the next generation of leaders to embark on this journey with us.

With a presence in over 70 countries and a diverse linguistic background, we reflect the global fabric of our audience. Despite our extensive reach, we operate as One Crawford, united in our purpose, vision, and values. When you join Crawford, you become part of a family that values respect, collaboration, entrepreneurial spirit, and inclusion.

Employee Benefits

Our comprehensive compensation plans offer more than just competitive salaries:

  • Performance-based pay and incentive programs.
  • Benefit programs that support financial, physical, and mental well-being.
  • Training initiatives that foster continuous learning and career advancement.
  • Sustainability efforts that give back to the communities we serve.

Crawford & Company is an Equal Opportunity Employer. We participate in E-Verify and do not accept unsolicited assistance from search firms for this employment opportunity.

  • Lead Claims Management Specialist

    2 weeks ago

    Dallas, Texas, United States AIG - American International Group, Inc. Full time

    Position OverviewSenior Claims Management Analyst at AIG - American International Group, Inc.We are seeking a Senior Claims Analyst to enhance your expertise in managing intricate claims processes. This role is pivotal in ensuring that our clients receive exceptional service and support throughout their claims journey.Key ResponsibilitiesAnalyze and resolve...

  • Senior Insurance Claims Analyst

    2 weeks ago

    Dallas, Texas, United States AIG - American International Group, Inc. Full time

    Position OverviewSenior Claims Management Analyst at AIG - American International Group, Inc.We are seeking a dedicated Senior Claims Analyst to enhance your expertise in managing intricate claims processes. This role is pivotal in our organization, as our Claims teams are recognized as the reliable problem solvers for our clients.Key ResponsibilitiesOversee...

  • Private Asset Data Analyst

    5 days ago

    Dallas, Texas, United States LP Analyst Full time

    About LP AnalystLP Analyst is a leading independent private asset cloud-based analytics and consulting solutions firm that works closely with many of the industry's most prominent institutional investors (LPs) and fund managers (GPs) to get better, more actionable decision-making intelligence into the hands of today's demanding investors.Job SummaryPrivate...

  • Claims Coding Analyst

    2 weeks ago

    Dallas, Texas, United States United Surgical Partners Full time

    Position Overview:As a vital member of the United Surgical Partners team, the Claims Coding Analyst will report directly to the Coding Manager. This role is essential for leveraging expertise in reimbursement and coding to address unresolved medical claims that have been either pended or denied due to various coding issues related to both government and...

  • Claims Analyst

    2 weeks ago

    Dallas, Texas, United States The Cincinnati Insurance Companies Full time

    Job Overview The Cincinnati Specialty Underwriters (CSU) Claims department is seeking a Claims Analyst I-III to oversee property and casualty claims and litigation files, assist in product development, and provide underwriting support. This position offers a hybrid work environment, with 50% of the time spent in the office and 50% remotely. Key...

  • Insurance Claims Coordinator

    2 weeks ago

    Dallas, Texas, United States MV Transportation Full time

    Liability Claims AnalystJob OverviewMV Transportation is in search of a Liability Claims Analyst to assist the Liability Claims Program Manager and the Director of Liability Claims. This position is crucial in supporting the risk management team with various administrative tasks. A foundational understanding of the claims intake and management process is...

  • Risk Management Claims Consultant

    2 weeks ago

    Dallas, Texas, United States AIG Full time

    Claims Operations AnalystWe invite you to become a part of our team as a Claims Operations Analyst, where you will enhance your expertise in managing intricate claims.Your Role in Claims ManagementOur Claims divisions are recognized as the premier problem solvers for our clients, consistently delivering exceptional technical proficiency and demonstrating our...

  • Claims Processing Analyst

    2 weeks ago

    Dallas, Texas, United States AIG - American International Group, Inc. Full time

    Position OverviewThe Workers Compensation Claims Specialist plays a crucial role in the assessment and management of claims related to workers compensation. This position requires a strong understanding of the claims process and the ability to make informed decisions within established guidelines.Key ResponsibilitiesEvaluate and process workers compensation...

  • Healthcare Claims Specialist

    2 weeks ago

    Dallas, Texas, United States CornerStone Staffing Full time

    Company Overview: CornerStone Staffing is dedicated to connecting skilled professionals with leading healthcare organizations.Position Summary: We are currently seeking motivated individuals with a background in medical services to fill the role of Medical Claims Analyst. This position requires candidates who are adept at handling healthcare inquiries and...

  • Lead Liability Claims Adjuster

    2 weeks ago

    Dallas, Texas, United States Berkshire Hathaway GUARD Insurance Companies Full time

    Overview Senior Liability Claims Adjuster We are in search of a Senior Liability Claims Adjuster for our Large Loss Division. If you possess a keen eye for detail, have a passion for technology, and thrive in the dynamic environment of investigations and negotiations, this role may be ideal for you. This position can be fulfilled from various...

  • Lead Liability Claims Adjuster

    2 weeks ago

    Dallas, Texas, United States Berkshire Hathaway GUARD Insurance Companies Full time

    Overview Senior Liability Claims Adjuster We are in search of a Senior Liability Claims Adjuster for our Large Loss Division. If you possess a keen eye for detail, have a passion for technology, and thrive in investigative and negotiation scenarios, this role may be ideal for you. This position is available in various office locations nationwide. ...

  • Healthcare Claims Specialist

    1 week ago

    Dallas, Texas, United States CornerStone Staffing Full time

    Company Overview: CornerStone Staffing is dedicated to connecting skilled professionals with leading healthcare organizations. Position Summary: We are currently seeking motivated individuals with experience in medical provider interactions to fill the role of Medical Claims Analyst. This position is crucial for ensuring accurate claims processing and...

  • Risk Management Claims Consultant

    2 weeks ago

    Dallas, Texas, United States American International Group Full time

    Claims Management Analyst We invite you to explore the role of a Claims Analyst, where you will enhance your expertise in managing intricate claims. Make a significant impact in Claims. Our Claims teams are recognized as the preferred problem solvers for our clients, consistently delivering exceptional technical proficiency and demonstrating our service...

  • Healthcare Claims Specialist

    1 week ago

    Dallas, Texas, United States CornerStone Staffing Full time

    Company Overview: CornerStone Staffing is seeking dedicated individuals with a background in medical services.Position Summary: We are looking for motivated candidates with experience in healthcare and call center environments to join a reputable healthcare organization.Job Title: Medical Claims AnalystCompensation: $18/hrWork Location: Fully on-site in...

  • Claims Analysis Specialist

    2 weeks ago

    Dallas, Texas, United States MV Transportation Full time

    Position Overview:MV Transportation is on the lookout for a dedicated Liability Claims Analyst who will assist the Liability Claims Program Manager and the Director of Liability Claims. This position is crucial in supporting the risk management team through various administrative tasks.Key Responsibilities:The selected candidate will report directly to the...

  • Senior Analyst for Auto Insurance Claims

    2 weeks ago

    Dallas, Texas, United States Starr Insurance Companies Full time

    Become a key player in our esteemed insurance and investment firmStarr Insurance Companies stands as a premier global provider of commercial property and casualty insurance, delivering essential coverage to enterprises around the globe. Established in 1919, our organization has expanded significantly, now operating in 128 countries across six continents.We...

  • Healthcare Claims Specialist

    1 week ago

    Dallas, Texas, United States CornerStone Staffing Full time

    Company Overview: CornerStone Staffing is seeking dedicated professionals with a background in medical services.Position Overview: We are looking for motivated individuals with experience in healthcare and call center environments to join a reputable healthcare organization.Job Title: Medical Claims AnalystCompensation: $18/hrLocation: Dallas, TX - This...

  • Healthcare Claims Specialist

    1 week ago

    Dallas, Texas, United States CornerStone Staffing Full time

    Company Overview: CornerStone Staffing is actively seeking dedicated professionals with experience in the medical field.Position Summary: We are looking for driven individuals with a background in healthcare and outbound communication to join a reputable healthcare organization.Job Title: Medical Claims AnalystCompensation: $18/hrWork Location: Fully on-site...

  • Healthcare Claims Specialist

    1 week ago

    Dallas, Texas, United States CornerStone Staffing Full time

    Company Overview: CornerStone Staffing is actively seeking dedicated individuals with experience in the medical provider sector. Position Overview: We are looking for motivated candidates with a background in healthcare and outbound call center operations to join a reputable healthcare organization. Job Title: Medical Claims Analyst Compensation: $18/hr...

  • Healthcare Claims Specialist

    1 week ago

    Dallas, Texas, United States CornerStone Staffing Full time

    Company Overview: CornerStone Staffing is seeking dedicated individuals with a background in medical services. Position Overview: We are looking for motivated candidates with experience in healthcare and call center environments to join a reputable healthcare organization. Job Title: Medical Claims Analyst Compensation: $18/hr Location: Dallas, TX - Fully...