Claim Examiner III - WC - (US-CA-Rancho Cordova - 95742)

Minimum Education: Tech School
Job Type: Full Time
Jobcode: 1641133
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Based in Atlanta, Georgia, Crawford & Company (www.crawfordandcompany.com) is the world's largest independent provider of claims management and related solutions to the risk management and insurance industry as well as self-insured entities, with a global network of more than 700 locations in 63 countries. Major service lines include property and casualty claims management; warranty inspections; integrated claims and medical management for workers’ compensation; legal settlement administration, including class action and bankruptcy claims administration; and risk management information services. The Company’s shares are traded on the NYSE under the symbols CRDA and CRDB.

Summary of Role:

In this role you will, Investigate and settle moderate-to-difficult claims for assigned lines of business promptly and equitably under general supervision. Review coverages, determine liability and compensability, secure information, arrange property damage appraisals and settle claims utilizing claims best practices. Set reserves and recommend reserve changes to supervisor and Company attorneys in preparing cases for litigation.

Responsibilities:

Receive claim assignments, confirm policy coverages and direct acknowledgement of claims.

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

Analyze 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.

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

Develop subrogation and third party recovery potential and follows reclaim procedures.

Participate in claim reviews.

*Performs other dutis as requested*

Required:

Bachelor’s degree or equivalent experience required.

Worker’s Compensation – Technical claims investigations/settling experience with 4-6 years experience in Broadspire Claims or similar organization

Preferred:

Industry designations (IIA, AIC, AEI, and/or CPCU)

Workers Compensation Claims Professional (WCCP)

Self Insured Certification

In addition to a competitive salary, Crawford offers you:

Career advancement potential locally, nationally and internationally. Crawford & Company has more than 700 locations in 63 countries

On-going training opportunities through every stage of your career

Strong benefits package including matching 401k; health, dental, and life insurance; employee stock purchase plans; tuition reimbursement and so much more.

Crawford & Company is an Equal Opportunity Employer. M/F/D/V

Apply Without Delay!


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