Senior Claims Examiner-Workers’ Compensation - (US-MA-Dedham)

Minimum Education: Tech School
Job Type: Full Time
Jobcode: 1662837
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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 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:

1. Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.

2. Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel.

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

4. 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.

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

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

7. 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..
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.

Experience:
Technical claims investigations/settling experience with 5-8 years experience in 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/14415583