Current jobs related to Lead Claim Investigator - Fresno, California - Crawford & Company

  • Large Loss Field Claims Adjuster

    2 weeks ago

    Fresno, California, United States American Family Insurance Full time

    Job Title: Large Loss Field Claims AdjusterWe are seeking a highly skilled and experienced Large Loss Field Claims Adjuster to join our team at American Family Insurance Claims Services (AFICS, Inc.).Job Summary:This is a lead-level role that involves investigating and maintaining complex property/casualty claims. The successful candidate will have a strong...

  • Property Claims Adjuster

    4 weeks ago

    Fresno, California, United States Crawford & Company Full time

    Job SummaryUnder limited supervision, resolves all types of the most serious losses, heavy commercial property losses or other assigned losses by investigating, negotiating settlements, presenting evidence in legal proceedings while maintaining high production levels; makes sales calls and presentations when requested.Key ResponsibilitiesExamines claims...

  • Workers Compensation Claims Specialist

    2 weeks ago

    Fresno, California, United States Intercare Insurance Full time

    Job SummaryAs a Workers Compensation Claims Specialist at Intercare Insurance, you will be responsible for managing an assigned inventory of claim files, including cases of extreme complexity or with unique issues. You will work closely with the Claims Supervisor and medical case managers to maximize early return to work potential and reduce the need for...

  • Workers Compensation Claims Specialist

    1 month ago

    Fresno, California, United States Intercare Insurance Full time

    Job SummaryAs a Workers Compensation Adjuster III at Intercare Insurance, you will play a critical role in managing an assigned inventory of claim files, including cases of extreme complexity or with unique or unusual issues. Your primary responsibility will be to effectively manage claims to conclusion, ensuring compliance with applicable statutes and...

  • Civil Contracts and Claims Engineer

    1 month ago

    Fresno, California, United States Stantec Full time

    About the RoleWe are seeking a highly skilled Civil Contracts and Claims Engineer to join our Transportation practice. As a key member of our team, you will be responsible for developing and executing Construction Claims Service strategies and programs.Key ResponsibilitiesDetermine change order merit, evaluate, and estimate the level of effort for hours and...

  • Claims Resolution Specialist

    7 days ago

    Fresno, California, United States Intercare Holdings Insurance Services Full time

    Claims Resolution Specialist OpportunityWe're seeking an experienced and motivated Claims Resolution Specialist to assist our team in providing exceptional claim handling and adherence to company standards and regulations.Our Mission:To be the leading third party administrator offering professional and technological resources through pro-active and...

  • Claims Adjuster

    2 weeks ago

    Fresno, California, United States Intercare Holdings Insurance Services Full time

    Job Title: Claims AdjusterAt Intercare Holdings Insurance Services, we're seeking an experienced and motivated Claims Adjuster to join our team in Fresno. As a Claims Adjuster, you'll work closely with our team of 7, including 5 Claims Adjusters and 2 Claims Examiners, to ensure exceptional claim handling and adherence to company standards and...

  • Property and Casualty Claims Advocate

    1 month ago

    Fresno, California, United States HUB International Full time

    About HUB InternationalHUB International is a leading insurance brokerage firm that advises businesses and individuals on how to prepare for the unexpected. With a focus on providing peace of mind, our team of experts helps clients navigate the complexities of the insurance industry and find tailored solutions that meet their unique needs.The OpportunityWe...

  • Property and Casualty Claims Advocate

    2 weeks ago

    Fresno, California, United States HUB International Full time

    About HUB InternationalHUB International is a leading insurance brokerage firm that advises businesses and individuals on how to prepare for the unexpected. With a focus on providing peace of mind, our team of professionals across North America offers tailored insurance solutions that put our clients in control.The OpportunityWe are seeking a Property &...

  • Property and Casualty Claims Advocate

    3 weeks ago

    Fresno, California, United States HUB International Full time

    About HUB InternationalHUB International is a leading insurance brokerage firm that advises businesses and individuals on how to prepare for the unexpected. With a focus on providing peace of mind, our team of professionals across North America offers tailored insurance solutions that put our clients in control.The OpportunityWe are seeking a Property &...

  • Workers Compensation Specialist

    2 weeks ago

    Fresno, California, United States State of California Full time

    Job SummaryThe State of California is seeking a highly skilled Workers Compensation Specialist to join our team. As a key member of our personnel department, you will be responsible for managing workers compensation claims, ensuring compliance with state regulations, and providing exceptional customer service to employees and management.Key...

  • In-House Insurance Defense Attorney P&C Specialist

    4 weeks ago

    Fresno, California, United States TheZenith Full time

    Job SummaryZenith Insurance Company is seeking an experienced In-House Insurance Defense Attorney P&C to join our team. As a key member of our litigation team, you will be responsible for handling all phases of pre-litigation and litigation activity on insurance defense matters.Key ResponsibilitiesHandle all phases of pre-litigation and litigation activity...

  • In-house Insurance Defense Attorney P&C Specialist

    2 weeks ago

    Fresno, California, United States TheZenith Full time

    Job SummaryThis role is an exciting opportunity to join TheZenith as an In-house Insurance Defense Attorney P&C. As a key member of our team, you will be responsible for handling all phases of pre-litigation and litigation activity on insurance defense matters.Key ResponsibilitiesHandle all phases of pre-litigation and litigation activity on insurance...

  • Workers Compensation Defense Attorney

    2 weeks ago

    Fresno, California, United States Jobot Full time

    Job Title: Workers Compensation Defense AttorneyA top workers compensation defense and civil litigation firm seeks a seasoned WC defense attorney to join their dynamic team. This remote position offers an exciting opportunity to work on a variety of challenging cases.Job Details:Manage a caseload of workers compensation cases from inception through...

  • Front End Supervisor

    2 weeks ago

    Fresno, California, United States Restaurant Depot Full time

    Job SummaryAs a Front End Supervisor at Restaurant Depot, you will be responsible for supervising and training cashiers, front-end loaders, checkers, and U-boat retrieval staff. You will ensure friendly, efficient, and professional customer service, while maintaining compliance with established sales and security policies and procedures.Key Responsibilities...

  • Front-End Supervisor Lead

    2 weeks ago

    Fresno, California, United States Restaurant Depot Full time

    Front-End Supervisor Role at Restaurant DepotAs a Front-End Supervisor at Restaurant Depot, you will be responsible for overseeing the front-end operations of our store. This includes supervising and training cashiers, front-end loaders, checkers, and U-boat retrieval personnel.Key Responsibilities:Supervise and train front-end staff to ensure excellent...

  • Hotel Operations Manager

    1 month ago

    Fresno, California, United States Holiday Inn Express Full time

    General Manager Job DescriptionWe are seeking a highly skilled and experienced General Manager to lead our Holiday Inn Express & Suites, Fresno "River Park" location. As a key member of our team, you will be responsible for overseeing all day-to-day operations, ensuring exceptional guest satisfaction, and driving hotel profitability.Key...

  • Hotel Operations Manager

    2 weeks ago

    Fresno, California, United States Holiday Inn Express - Fresno (River Park) Full time

    Job DescriptionWe are seeking a highly skilled and experienced General Manager to lead our Holiday Inn Express & Suites, Fresno "River Park" location. As a key member of our team, you will be responsible for overseeing all day-to-day operations, ensuring exceptional guest satisfaction, and driving hotel profitability.The ideal candidate will have a strong...

  • District Administrator

    1 month ago

    Fresno, California, United States Calwa Recreation & Park District Full time

    Job SummaryWe are seeking a highly skilled and experienced District Administrator to join our team at the Calwa Recreation & Park District. The successful candidate will be responsible for planning, organizing, and directing the programs and activities of the District, as well as formulating departmental policies, goals, and directives.Key...

  • Special Agent Supervisor

    7 days ago

    Fresno, California, United States Department of Justice Full time

    Job SummaryThe Department of Justice is seeking a highly skilled Special Agent Supervisor to lead a team of investigators in conducting complex fraud investigations. The ideal candidate will have a strong background in law enforcement and experience in supervising teams.Key ResponsibilitiesSupervise and direct a team of investigators in conducting fraud...

Lead Claim Investigator

2 months ago

Fresno, California, United States Crawford & Company Full time
Commitment to Excellence in Every Interaction

Position Overview
  • Flexible Work-from-Home Opportunity
  • Looking for professionals experienced in managing California Workers Compensation claims
  • SIP certification is mandatory
  • Potential for Bonus Incentives
  • Various Employee Discounts Available
Conduct thorough investigations and resolve intricate, high-value claims efficiently and fairly with minimal oversight. Operate within established authority on moderate to complex claims. Assess coverages, ascertain liability and compensability, gather information, coordinate property damage evaluations, and settle claims by employing best practices in claims management. Evaluate and establish reserves using sound judgment. Support supervisors and legal representatives in preparing cases for litigation. Provide training and mentorship to new team members.

Key Responsibilities
  • Utilizes independent judgment to interpret and make decisions on complex and atypical policy coverages, determining applicability to submitted claims.
  • Oversees all investigative activities related to complex claims, guiding the discovery and litigation strategy in collaboration with legal counsel.
  • Analyzes claims data and generates reports for clients, carriers, and management.
  • Establishes reserves based on expertise and independent judgment, authorizing payments within designated authority, ensuring claims are settled cost-effectively and disbursements are timely.
  • Facilitates prompt and fair claim settlements, issuing company drafts for claims within authority limits.
  • Identifies subrogation and third-party recovery opportunities, adhering to reclaim procedures.
  • Evaluates claims activities and prepares reports for clients, carriers, and management, participating in claims reviews.
Qualifications
  • Bachelor's degree or equivalent experience is required.
  • Workers Compensation (WC) Adjuster License is required based on jurisdictional regulations.
  • 4-8 years of technical claims investigation and settlement experience in Claims or a related field.
  • 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.
About Crawford & Company

Why Choose Crawford?

At Crawford, we understand that a claim represents more than just a number; it signifies a person, a child, a friend—someone who relies on us during challenging times. By aiding in the restoration of their lives, we contribute to the revitalization of our community, one claim at a time.

Our employees are empowered to grow, encouraged to take initiative, and inspired to innovate. Our leading team in the industry develops new solutions for the sectors and clients we serve. We seek the next generation of leaders to join us on this journey.

With a presence in over 70 countries and a diverse linguistic background, we reflect the global nature of our audience. Despite our extensive reach, we operate as One Crawford, united in our purpose, vision, and values. Discover more about us.

When you join Crawford, you become part of the One Crawford family.
  • Our comprehensive compensation packages offer more than just a competitive salary.
  • Pay and incentive structures that reward outstanding performance.
  • Benefit programs designed to promote financial, physical, and mental well-being.
  • Training initiatives that foster continuous learning and career advancement while enhancing job performance.
  • Sustainability efforts that contribute to the communities where we live and work.
  • A culture that values respect, collaboration, entrepreneurial spirit, and inclusivity.
Crawford & Company is an Equal Opportunity Employer and participates in E-Verify.