Crawford & Company
Sr Claim Examiner-WC (CA) - Seasonal
Crawford & Company, Atlanta, Georgia, United States, 30383
Seasonal Senior Claims Examiner – Workers Compensation (California)
We are always searching for a Senior Claims Examiner with solid expertise in managing California workers compensation claims to join our awesome team!
Salary: $52,309.37 - $95,657.13 / Annually
Responsibilities
Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision.
Work within established authority on moderate-to-difficult claims.
Review coverages, determine liability and compensability, secure information, arrange property damage appraisals and settle claims utilizing claims best practices.
Evaluate and set reserves using independent judgment.
Assist supervisor and defense attorneys in preparing cases for litigation.
Conduct training and mentor new hires.
Interpret and make decisions using independent judgment on more complex and unusual policy coverages and determine if coverages apply to claims submitted.
Manage all aspects of investigative activity on complex claims; direct the discovery and litigation strategy with legal counsel.
Analyze claims activity and prepare reports for clients/carriers and management.
Establish reserves, using independent judgment and expertise, and authorize 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 issue company drafts in payments for claims within authority limits.
Develop subrogation and third‑party recovery potential and follow reclaim procedures.
Participate in claim reviews.
Qualifications
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 interact with all levels of internal and external clients.
Industry Designations: Preferred: IIA, AIC, AEI, and/or CPCU.
License Requirements: Per State or Jurisdictional requirements. Workers Compensation (WC) Adjuster License required according to jurisdictional requirements.
SIP certification is a requirement.
Benefits
Excellent Crawford Benefits programs that empower financial, physical, and mental wellness.
Generous Employee Referral Bonus Program
Multiple Employee Discounts
Pay and incentive plans that recognize performance excellence
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
#LIEM3
Crawford & Company participates in E-Verify and is an Equal Opportunity Employer.
F/M/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.
#J-18808-Ljbffr
We are always searching for a Senior Claims Examiner with solid expertise in managing California workers compensation claims to join our awesome team!
Salary: $52,309.37 - $95,657.13 / Annually
Responsibilities
Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision.
Work within established authority on moderate-to-difficult claims.
Review coverages, determine liability and compensability, secure information, arrange property damage appraisals and settle claims utilizing claims best practices.
Evaluate and set reserves using independent judgment.
Assist supervisor and defense attorneys in preparing cases for litigation.
Conduct training and mentor new hires.
Interpret and make decisions using independent judgment on more complex and unusual policy coverages and determine if coverages apply to claims submitted.
Manage all aspects of investigative activity on complex claims; direct the discovery and litigation strategy with legal counsel.
Analyze claims activity and prepare reports for clients/carriers and management.
Establish reserves, using independent judgment and expertise, and authorize 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 issue company drafts in payments for claims within authority limits.
Develop subrogation and third‑party recovery potential and follow reclaim procedures.
Participate in claim reviews.
Qualifications
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 interact with all levels of internal and external clients.
Industry Designations: Preferred: IIA, AIC, AEI, and/or CPCU.
License Requirements: Per State or Jurisdictional requirements. Workers Compensation (WC) Adjuster License required according to jurisdictional requirements.
SIP certification is a requirement.
Benefits
Excellent Crawford Benefits programs that empower financial, physical, and mental wellness.
Generous Employee Referral Bonus Program
Multiple Employee Discounts
Pay and incentive plans that recognize performance excellence
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
#LIEM3
Crawford & Company participates in E-Verify and is an Equal Opportunity Employer.
F/M/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.
#J-18808-Ljbffr