Sr Claim Examiner-WC (CA) jobs in United States
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Crawford & Company · 1 day ago

Sr Claim Examiner-WC (CA)

Crawford & Company is a global leader in claims management, and they are seeking a Senior Claims Examiner – Workers Compensation to join their team. The role involves investigating and settling advanced, large-loss, and complex claims while ensuring compliance with best practices and authority limits.

Insurance
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H1B Sponsor Likelynote

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 certificationCalifornia Workers Compensation ClaimsTechnical claims investigationsWorkers Compensation Adjuster LicenseAnalytical skillsNegotiation skillsPresentation skillsInterpersonal skillsProblem solving skills

Required

SIP certification is required
Proven Experience Handling California Workers Compensation Claims
Strong background in managing advanced, large-loss, and complex cases
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, and/or CPCU

Benefits

Excellent Crawford Benefits Supporting Financial, Physical & Mental Wellness
Great Bonus Opportunity
Generous Employee Referral Bonus Program
Access to Multiple Employee Discounts

Company

Crawford & Company

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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.

H1B Sponsorship

Crawford & Company has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (1)
2024 (2)
2023 (7)
2022 (5)
2021 (2)
2020 (10)

Funding

Current Stage
Late Stage

Leadership Team

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Larry Thomas
EVP - CEO Crawford U.S. Services
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Bruce Swain
EVP - Chief Financial Officer
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Company data provided by crunchbase