Excellence In Everything We Touch :
Position Summary :
GREAT WORK FROM HOME CAREER OPPORTUNITY!
Seeking candidates with experience managing California Workers Compensation claims!
SIP is a requirement!
Bonus Opportunities!
Multiple Employee Discounts!
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 defense 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 required.
Workers Compensation (WC) Adjuster License required according to jurisdictional requirements
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.
Preferred :
IIA, AIC, AEI, and / or CPCU Designations.
About Us : Why Crawford?
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.
LI-EM3
Workers Compensation Claims Supervisor - Oregon Washington
A company is looking for a Workers Compensation Claims Supervisor. ...
Workers Compensation Claims Examiner | Dedicated Client | Remote to California Residents
To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service req...
CA Workers Compensation Claims Adjuster - Remote
Our client is expanding their Workers' Compensation Department and seeking to add Workers' Compensation Claims Adjusters to their California operations. These positions would be responsible for handling California Workers' Compensation Indemnity claims from inception to close. Qualified candidates m...
Claims Examiner - Workers Compensation - (Hybrid Schedule)
To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service req...
Claims Examiner - Workers Compensation
...
Workers' Compensation Claim Representative - Diamond Bar, CA
Coordinate medical and indemnity position of the claim with a Medical Case Manager. This position is hybrid (3 days in the Diamond Bar, CA location, 2 days remote), so candidates must live within amutable distance of Diamond Bar, CA. Collaborate with our internal nurse resources (Medical Case Manage...
(Hybrid & Onsite) Workers Compensation Claims Handling Positions - California Jurisdiction
To analyze California Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. Hybrid & Onsite) Workers Compensation Claims Hand...
Workers Compensation Claims Supervisor
Your Impact: Provide ongoing coaching, counseling, and feedback to team members to enhance skills and performance Ensure all claims are handled in accordance with relevant statutes and company guidelines Address personnel issues promptly and decisively, keeping management informed of corrective acti...
Claims Adjuster - Workers Compensation | California experience
As a member of our client's claims team, utilize your knowledge of workers' compensation to independently investigate, evaluate and resolve assigned claims in order to achieve appropriate outcomes. Administers indemnity and medical benefits for valid workers' compensation claims. IPS is an insurance...
Property Claims Examiner - National Insurance Agency - Base Salary to 75k/year - Anaheim, CA
Property Claims Examiner - National Insurance Agency - Base Salary to 75k/year - Anaheim, CA. Our client, a large national insurance company, has an immediate need for a Property Claims Examiner to join the team in Anaheim, CA. Participate in claims related audits and prepare reports related to clai...