Accident and Health Affinity Benefits Adjuster

Found in: Resume Library US A2 - 2 weeks ago

Peachtree Corners Georgia, United States Crawford & Company Full time
Excellence In Everything We Touch:

Position Summary:
Under general supervision, evaluates and settles travel and accident claims of modest to complex exposure (including fatalities) by investigating losses, interpreting coverage, and reporting obtained information in a timely and efficient manner, while maintaining adequate production levels. Claim types handled, included but not limited to: Accidental Death and Dismemberment, Trip Cancellation/Interruption, Collision Damage Waiver, Out of Country Medical Expense, Lost/Delayed Luggage.

Responsibilities:
Examines travel and accident claims forms, policies and endorsements, client instructions and other records to determine coverages.

Investigates claims by interviewing insureds, claimants, obtaining official reports, and by comparing claim information with evidence.

Sets loss reserves.

Prepares reports by collecting and summarizing information required by client, local, state and federal government and by Crawford.

Settles claims by determining client’s coverages, liability, client’s instructions, and authority levels required by obtaining demands and making offers to claimants, issuing settlement checks, making filings with regulatory agencies, disposing of salvage, pursuing subrogation when appropriate.

Controlling claim costs.

Recommends litigation when appropriate.

Presents evidence at legal proceedings; producing reports and other documents as evidence.

Maintains expected case load.

Maintains company reputation and integrity of insurance products by complying with federal and state regulations and service standards.

Maintain acceptable product quality through compliance with service standards and compliance with internal quality control initiatives.

Maintains professional and technical knowledge through continuing education.

May assist junior adjusters.

Participates in special projects or performs duties in other areas as requested.

Upholds the Crawford Code of Conduct.

Requirements:
College degree or equivalent combination of education and experience.

Minimum 1-2 years 6 months previous experience as a Claims Adjuster

Prior experience as a travel and accident adjuster preferred

Depending on case load you may be required to work beyond normal business hours when necessary.

Must complete continuing education requirements as outlined by Crawford Educational Services.

Must be licensed as required by state and local jurisdictions.

Must pass New York and Hawaii independent adjuster licensing exams within the first 6 months of employment.

Strong verbal and written communication skills.

Good attention to detail.

Strong analytical and mathematical ability.

Ability to handle multiple tasks.

Strong interpersonal skills.

Highly organized and self-directed.

Flexible and able to change plans quickly.

Good problem solver.

Ability to handle a variety of situations with tact and diplomacy.

Customer service oriented.

Thrives in a fast-paced environment.

Knowledge of the travel insurance industry

Familiarity with Supplementary Health Insurance Plans

About Us:

Why Crawford?

 

Because a claim is more than a number — it’s a person, a child, a friend. It’s anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community – one claim at a time.

 

At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We’re looking for the next generation of leaders to take this journey with us.

 

We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at .

 

When you accept a job with Crawford, you become a part of the One Crawford family. 

 

Our total compensation plans provide each of our employees with far more than just a great salary

Pay and incentive plans that recognize performance excellence

Benefit programs that empower financial, physical, and mental wellness

Training programs that promote continuous learning and career progression while enhancing job performance

 that give back to the communities in which we live and work

A culture of respect, collaboration, entrepreneurial spirit and inclusion

 

Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.

 

 

 

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