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Senior Claims Examiner - Workers Compensation

Company: Crawford & Company
Location: New Orleans
Posted on: May 27, 2023

Job Description:

Excellence In Everything We Touch
Position Summary
Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established authority on moderate-to-difficult claims. Reviews coverages, determines liability and compensability, secures information, arranges property damage appraisals and settles claims utilizing claims best practices. Evaluates and sets reserves using independent judgment. Assists supervisor and company attorneys in preparing cases for litigations. Conducts training and mentors new hires.
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.


    Requirements


    • Bachelor's degree or equivalent experience.


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


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


    • 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.


    • Preferred:


    • Industry designations such as IIA, AIC, AEI and/or CPCU


      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 www.crawco.com.
      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


      • Sustainability programs (https://www.crawco.com/about/social-responsibility) 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.
        #LI-EM3
        Posted Date6 days ago(5/17/2023 2:24 PM)
        Requisition ID2023-22280
        Job LocationsUS-LA-New Orleans
        Position TypeRegular Full-Time
        CategoryClaims
        Business UnitBUS_TPA US

Keywords: Crawford & Company, New Orleans , Senior Claims Examiner - Workers Compensation, Other , New Orleans, Louisiana

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