Claims Resolution Specialist
3 hours ago
We are seeking a skilled Claims Resolution Specialist to join our team at Crawford & Company. As a Claims Resolution Specialist, you will be responsible for investigating and resolving complex claims involving workmanship warranty, liability damage, and performance-related matters.
Key Responsibilities:
- Monitor and investigate inbound assignment activity for system entry and client acknowledgement.
- Initiate investigations of facts relating to reported issues and record findings in internal web-based systems.
- Review, analyze, and interpret contractual obligations of contractors and client partners to determine the best course of disposition.
- Build and maintain relationships with client adjusters, contractors, and insured/homeowners to determine and recommend resolution action plans.
- Review and analyze independent reporting, including adjuster, engineer, environmental, or product testing.
- Monitor time frames of pending complex issues and provide status update reports to clients and management as required.
- Research federal, state, and local jurisdictional requirements relating to building code and compliance.
- Initiate and handle formal notifications to contractor insurance carriers and/or agents for matters requiring insurance policy intervention and coverage determination.
Requirements:
- Bachelor's degree in business administration, management, construction, or a related discipline, or an equivalent combination of education and work experience.
- 2 years' experience as an Issue Resolution Coordinator I or a minimum of two years' work experience in a customer service environment.
- Multi-line adjusting experience with an emphasis on property/liability, familiarity with residential and commercial construction, restoration means, and methods.
- Ability to analyze and interpret contract terms and conditions.
- Understanding of insurance terms, principles, concepts, and practices.
- Highly proficient and advanced computer skills.
- Excellent attention to detail and organizational skills.
- Good time management abilities.
- Strong analytical and problem-solving ability.
- Excellent written, verbal, and oral communication skills.
- Good interpersonal skills.
- Good negotiation skills.
About Us:
Crawford & Company is a global leader in claims management and outsourcing, providing innovative solutions to the insurance and risk management industries. We are committed to helping our clients restore their lives, one claim at a time.
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