Lead Claims Analyst

1 week ago

Brea, California, United States Crawford & Company Full time

Position Overview

Join a dynamic team with a flexible remote work opportunity. We are looking for individuals with a strong background in managing California Workers Compensation claims.

Key Highlights:

  • Experience in SIP is essential
  • Potential for bonus incentives
  • Access to various employee discounts

As a Lead Claims Analyst, you will be responsible for investigating and resolving complex, high-value claims efficiently and fairly with minimal oversight. You will operate within established guidelines on moderate to challenging claims, reviewing coverage details, determining liability and compensability, gathering necessary information, coordinating property damage assessments, and settling claims using best practices in the industry. You will also evaluate and establish reserves based on your independent judgment and assist supervisors and legal representatives in preparing cases for litigation. Additionally, you will play a crucial role in training and mentoring new team members.

Core Responsibilities:

  • Utilize independent judgment to interpret and make decisions on intricate 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.
  • Analyze claims data and generate reports for clients, carriers, and management.
  • Establish reserves using your expertise and authorize payments within your authority, ensuring claims are settled in a cost-effective manner with timely disbursements.
  • Resolve claims promptly and fairly, issuing company drafts for claims payments within your authority limits.
  • Identify subrogation and third-party recovery opportunities and adhere to reclaim procedures.
  • Prepare analytical reports on claims activities for clients, carriers, and management, and participate in claims reviews.

Qualifications:

  • A Bachelor's degree or equivalent experience is required.
  • A Workers Compensation (WC) Adjuster License is mandatory based on jurisdictional requirements.
  • 4-8 years of technical claims investigation and settlement experience in a similar organization.
  • Ability to work autonomously while assimilating various technical subjects.
  • Strong written and verbal communication, negotiation, and presentation skills.
  • Advanced analytical and problem-solving abilities, with the capacity to manage and prioritize multiple projects.
  • Effective interpersonal skills to engage with all levels of internal and external stakeholders.

Preferred Qualifications:

  • IIA, AIC, AEI, and/or CPCU designations.

At Crawford & Company, you become part of a collaborative family. Our comprehensive compensation packages offer more than just competitive salaries:

  • Performance-based pay and incentive plans
  • Benefit programs that support financial, physical, and mental well-being
  • Training initiatives that foster continuous learning and career advancement while enhancing job performance
  • A commitment to giving back to the communities we serve
  • A culture that values respect, collaboration, entrepreneurial spirit, and inclusivity

  • Complex Claims Specialist

    5 days ago

    Brea, California, United States CNA Full time

    **Job Summary**CNA is seeking a highly skilled and experienced Complex Claims Consultant to join our team. As a key member of our claims organization, you will be responsible for managing complex commercial claims, providing exceptional customer service, and ensuring timely and adequate reserves.Key Responsibilities:Manage an inventory of highly complex...

  • Senior Claims Examiner

    1 week ago

    Brea, California, United States Crawford & Company Full time

    Job SummaryCrawford & Company is seeking a highly skilled Senior Claims Examiner to join our team. As a Senior Claims Examiner, you will be responsible for investigating and settling complex claims, working with clients and carriers to resolve disputes, and analyzing claims data to identify trends and areas for improvement.Key ResponsibilitiesInvestigate and...

  • Claims Resolution Professional

    5 days ago

    Brea, California, United States CNA Full time

    **Job Summary**CNA is seeking a highly skilled Claims Resolution Professional to join our team. As a key member of our commercial insurance team, you will be responsible for managing complex claims, providing exceptional customer service, and resolving claims in a timely and efficient manner.Key Responsibilities:Manage an inventory of highly complex...

  • Senior Claims Examiner

    3 days ago

    Brea, California, United States Crawford & Company Full time

    Job SummaryCrawford & Company is seeking a highly skilled Senior Claim Examiner to join our team. As a Senior Claim Examiner, you will be responsible for investigating and settling complex claims, working independently with minimal supervision.Key ResponsibilitiesInvestigate and settle advanced, large loss, complex claims promptly and equitably.Review...

  • Lead Financial Analyst

    2 weeks ago

    Brea, California, United States Jobot Full time

    Position OverviewWe are seeking a motivated Lead Financial Analyst to enhance our accounting functions both domestically and internationally.Key Responsibilities:Prepare and/or review month-end journal entries, including fixed asset reporting and depreciation, prepaid expense amortization, accrued expenses, accrued/deferred revenue, and interest...

  • Lead Financial Analyst

    1 week ago

    Brea, California, United States True Find Staffing Full time

    Job OverviewAs a Lead Financial Analyst at True Find Staffing, you will play a crucial role in shaping our financial strategies and ensuring the accuracy of our financial reporting.Key ResponsibilitiesConduct monthly revenue analysis and reporting for various products.Identify trends and develop insights through detailed research to validate financial...

  • Lead Financial Systems Analyst

    2 weeks ago

    Brea, California, United States Danaher Corporation Full time

    Overview: At Danaher Corporation, we are committed to enhancing healthcare through innovative solutions. Our team is dedicated to improving laboratory efficiency and advancing science.Position Summary: The Senior Financial Systems/Data Analyst will play a crucial role in developing and optimizing business intelligence solutions. This includes the enhancement...

  • Lead FLSA Compliance Advisor

    2 weeks ago

    Brea, California, United States Insperity Full time

    Job OverviewAs a key player in our organization, the Lead FLSA Compliance Advisor will provide expert guidance to clients on compliance with the Fair Labor Standards Act (FLSA) and related state regulations. This role is essential in ensuring that our clients navigate the complexities of exempt and non-exempt classifications effectively.ResponsibilitiesThe...

  • Supply Chain Operations Analyst

    2 weeks ago

    Brea, California, United States Safran Passenger Innovations Full time

    Job OverviewThe Supply Chain Operations Analyst is responsible for conducting analytical reporting for Operations and other relevant departments. This role involves the development of new reporting tools as necessary, alongside the maintenance and enhancement of existing reports. The Analyst serves as the primary point of contact for all reporting inquiries...

  • Senior Energy Systems Analyst

    2 weeks ago

    Brea, California, United States Burns & McDonnell Full time

    Position: Senior Energy Systems AnalystLocation: Brea, CaliforniaEmployment Type: Full-timeTravel Requirements: Occasional travel required (approximately 15%)Role Overview:The Senior Energy Systems Analyst will collaborate closely with project managers and consultants to devise innovative solutions addressing the technical and economic challenges faced by...

  • Senior Financial Analyst

    3 days ago

    Brea, California, United States Champions Group Holdings Full time

    Job SummaryChampions Group Holdings is a leading provider of essential home services, specializing in heating, air conditioning, and plumbing. We are seeking a highly skilled Senior Financial Analyst to join our Finance team.Key ResponsibilitiesFinancial Planning and Analysis: Develop and maintain financial models, forecasts, and reports to inform business...

  • Construction Cost Analyst

    2 weeks ago

    Brea, California, United States Caliber Construction Full time

    JOB TITLE:Construction Cost AnalystCOMPANY:Caliber Construction, a leading firm in the construction industry, focusing on commercial renovation projects.JOB DESCRIPTIONSUMMARY: Develop preliminary budgets and cost estimates for fixed price, maximum price guarantees, and design-build contracts.DUTIES AND RESPONSIBILITIESExamine bid documents and architectural...

  • Lead Financial Analyst

    2 weeks ago

    Brea, California, United States True Find Staffing Full time

    Key ResponsibilitiesMonthly Reporting: Conduct comprehensive product revenue analysis and reporting on a monthly basis.Trend Analysis: Examine market trends to formulate hypotheses and carry out in-depth research to substantiate findings.Variance Reporting: Prepare and present Actual vs. Budget variances to assess the company's performance against...

  • Lead Financial Analyst

    2 weeks ago

    Brea, California, United States True Find Staffing (TFS) Full time

    Key Responsibilities Conduct monthly revenue analysis and reporting for various products.Identify trends to formulate hypotheses and carry out in-depth research to substantiate findings.Prepare and present Actual vs. Budget variances to evaluate the company's performance against its targets.Project revenue and expenditures by gathering insights from key...

  • Lead Financial Strategist

    2 weeks ago

    Brea, California, United States Champions Group Full time

    Descripción del TrabajoResumen:Champions Group Holdings es una empresa en rápido crecimiento en los servicios esenciales del hogar, especializada en calefacción, aire acondicionado, plomería y electricidad. Buscamos incorporar un miembro clave a nuestro equipo financiero. La comprensión de modelos de previsión, sistemas financieros y operativos, así...

  • Transmission Planning Project Manager

    6 days ago

    Brea, California, United States Burns & McDonnell Full time

    About the RoleWe are seeking a highly skilled Transmission Planning Project Manager to join our team at Burns & McDonnell. As a key member of our Electric Power Systems group, you will be responsible for leading a broad range of transmission system studies and consulting services to support power delivery utilities in making informed business and engineering...

  • Transmission Planning Project Manager

    2 days ago

    Brea, California, United States Burns & McDonnell Full time

    About the RoleBurns & McDonnell is seeking a highly skilled Transmission Planning Project Manager to join our team. As a key member of our Power Generation Planning and Evaluation group, you will be responsible for supporting a broad range of studies and consulting services to help power delivery utilities make informed decisions backed by business and...

  • Senior Project Manager

    3 days ago

    Brea, California, United States Veah Consulting Services Full time

    Job OverviewVeah Consulting Services is seeking a seasoned Senior Project Manager to lead complex IT implementation projects from inception to completion. The ideal candidate will have extensive experience managing IT programs/projects and a proven track record of delivering results.Key ResponsibilitiesDevelop and execute comprehensive project plans, and...

  • Portfolio Manager

    4 days ago

    Brea, California, United States Sumitomo Mitsui Banking Corp Full time

    About the RoleWe are seeking a highly skilled Portfolio Manager to join our Commercial Lending team at Sumitomo Mitsui Banking Corp. As a key member of our team, you will play a crucial role in the execution of credit facilities for new and existing customers in a broad range of industries.Key ResponsibilitiesResponsible for the ongoing maintenance and...

  • Supply Chain Operations Manager

    2 weeks ago

    Brea, California, United States Emerald Technologies Full time

    Job OverviewEmerald Technologies is seeking a seasoned Materials Manager to enhance our operational efficiency. This pivotal role is designed for a candidate with strong business insight to lead site-level initiatives that align with our corporate supply chain objectives. The successful candidate will manage the comprehensive planning, procurement, storage,...