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Crawford & Company · 6 days ago

Sr Claim Examiner-WC (CA)

United States

Full-time

Remote

Mid, Senior Level

$52K/yr - $96K/yr

4+ years exp

Crawford & Company is currently seeking a Senior Claims Examiner - WC (CA) with solid expertise in managing California workers compensation claims. The role involves investigating and settling advanced, large loss, complex claims promptly and equitably under minimal supervision, while also mentoring new hires and assisting in litigation preparations.

Insurance

No H1B

Responsibilities

Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted

Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel

Analyzes claims activity and prepares reports for clients/carriers and management

Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements

Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits

Develops subrogation and third party recovery potential and follows reclaim procedures

Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews

Qualification

SIP certificationWorkers Compensation Adjuster LicenseTechnical claims investigationsAdvanced analytical skillsIndustry DesignationsCommunication skillsNegotiation skillsPresentation skillsInterpersonal skillsProblem solving skillsWork independently

Required

SIP certification is a requirement

Bachelor's degree or equivalent experience required

Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization

Ability to work independently while assimilating various technical subjects

Strong written and oral communication, negotiation and presentation skills

Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects

Effective advanced interpersonal skills to effectively interact with all levels of internal and external clients

License Requirements: Per State or Jurisdictional requirements

Workers Compensation (WC) Adjuster License required according to jurisdictional requirements

Preferred

IIA

AIC

AEI

CPCU

Benefits

Excellent Crawford Benefits programs that empower financial, physical, and mental wellness.

Great Bonus Opportunity

Generous Employee Referral Bonus Program

Multiple Employee Discounts

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

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

A culture of respect, collaboration, entrepreneurial spirit and inclusion

Company

Crawford & Company

Glassdoor3.6

Based in Atlanta, GA Crawford & Company(R) (www.crawco.com) is the world's largest publicly listed independent provider of claims management and outsourcing solutions to carriers, brokers and corporates, with an expansive global network serving clients in more than 70 countries.

Founded in 1941

Peachtree Corners, Georgia, US

10001+ employees