Claims Examiner III - Liability - (US-TX-Dallas - 75398)

Minimum Education: Tech School
Job Type: Full Time
Jobcode: 1167314
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Based in Atlanta, Georgia, Crawford & Company is the world's largest independent provider of claims management solutions to insurance companies and self-insured entities, with a global network of more than 700 offices in 63 countries. Major service lines include property and casualty claims management, legal settlement administration, including class action and warranty inspections, and risk management information services. Broadspire, a wholly owned subsidiary, offers a broad array of customized casualty, medical management, and integrated disability management. Crawford's shares are traded on the NYSE under the symbols CRDA and CRDB.

Summary of Role:

Investigate and settle moderate-to-difficult claims for assigned lines of business promptly and equitably under general supervision. Reviews coverages, determines liability and compensability, secures information, arranges property damage appraisals and settles claims utilizing claims best practices. Sets reserves and recommends reserve changes to supervisor and Company attorneys in preparing cases for litigation.

Responsibilities:

1. Receives claim assignment, confirms policy coverages and directs acknowledgement of claims.

2. Interprets and makes decisions using independent judgment on moderate-to-difficult claims and policy coverages and determines if coverage applies to claims submitted.

3. Investigates claims to determine validity and verify extent of damage by telephone contact with clients, claimants, witnesses or other parties as required.

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

5. 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.

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

7. Develops subrogation and third party recovery potential and follows reclaim procedures.

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

Education:

Bachelor’s degree or equivalent experience required. Industry designations preferred, but not required (IIA, AIC, AEI, and/or CPCU)

Knowledge and Skills:

Ability to work independently while assimilating various technical subjects.

Good verbal and written communication skills.

Demonstrated ability to gather and analyze information, determine a course of action and implement the selected course of action.

Strong ability to identify, analyze and solve problems.

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

Experience:
Auto/GL – Technical Claims investigations/settling experience with 3-6 years experience in Broadspire Claims or similar organization.

Crawford offers excellent benefits, training and competitive salaries. If you are interested in joining a leader in the claims management industry, please apply now. EOE M/F/D/V


How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar: http://broadspire.contacthr.com/11619362