Claims Assessment Specialist

2 weeks ago


St Louis, Missouri, United States Crawford & Company Full time

Commitment to Excellence

Position Overview

As a Claims Assessment Specialist, you will play a crucial role in the investigation, evaluation, negotiation, and resolution of moderately complex claims. Your efforts will directly contribute to the profitability of our operations by ensuring claims are settled fairly and promptly under general supervision.

Key Responsibilities

+ Manage claim assignments by confirming policy coverages and ensuring timely acknowledgment of claims.

+ Utilize independent judgment to interpret policy coverages and make decisions on moderate complexity claims.

+ Conduct thorough investigations and evaluations of first and third-party claims, verifying the extent of damages through communication with clients, claimants, and witnesses.

+ Prepare detailed reports analyzing claims activity for clients, carriers, and management.

+ Establish reserves based on your expertise and authorize payments within your scope of authority, ensuring cost-effective settlements and timely disbursements.

+ Make prompt and equitable settlement decisions, issuing company drafts for claims within your authority limits.

+ Identify subrogation and third-party recovery opportunities and follow established reclaim procedures.

+ Participate in claims reviews and contribute to the analysis of claims activities.

Qualifications

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

+ A minimum of 1-3 years of comprehensive experience in claims investigations and settlements or a similar field.

+ Ability to work independently while assimilating various technical subjects.

+ Strong verbal and written communication skills.

+ Proven ability to gather and analyze information, determine appropriate actions, and implement solutions effectively.

+ Excellent problem-solving skills with a strong analytical mindset.

+ Effective interpersonal skills to engage with external sources and colleagues at all levels.

About Crawford & Company

At Crawford, we believe that every claim represents a person in need. Our mission is to restore lives and communities, one claim at a time. We empower our employees to grow, innovate, and lead in our industry. With a diverse team from over 70 countries, we operate as One Crawford, united in our purpose and values.

We offer competitive compensation plans, performance recognition, comprehensive benefits, continuous learning opportunities, and a culture that values respect, collaboration, and inclusion.

Crawford & Company is an Equal Opportunity Employer and participates in E-Verify.



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