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Senior Claims Examiner

2 months ago


Brea, California, United States Crawford & Company Full time
Position Summary

We are seeking a highly skilled Senior Claim Examiner to join our team at Crawford & Company. As a Senior Claim Examiner, you will be responsible for investigating and settling advanced, large loss, complex claims promptly and equitably under minimal supervision.

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.

Requirements:

* Bachelor's degree or equivalent experience required.
* Workers Compensation (WC) Adjuster License required according to jurisdictional requirements
* 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.

Preferred:

* IIA, AIC, AEI, and/or CPCU Designations.

At Crawford & Company, we offer a total compensation plan that provides each of our employees with far more than just a great salary. Our pay and incentive plans recognize performance excellence, and our benefit programs empower financial, physical, and mental wellness. We also offer training programs that promote continuous learning and career progression while enhancing job performance. Our culture of respect, collaboration, entrepreneurial spirit, and inclusion makes us a great place to work.