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Senior Claims Examiner - Workers Compensation
$75k-96k (estimate)
Other | Business Services 1 Month Ago
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Crawford Company is Hiring a Senior Claims Examiner - Workers Compensation Near Dallas, TX

Excellence In Everything We Touch

Position Summary

  • GREAT WORK FROM HOME OPPORTUNITY!
  • Generous Employee Referral Bonus Program!
  • Candidates must have experience in managing TX Workers Compensation Claims!
  • Licensing is a requirement!
  • LA & OK jurisdiction is a plus!

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

  • 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.
  • Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization.
  • Workers Compensation (WC) Adjuster License required according to jurisdictional requirements.
  • 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.

Preferred:

  • Industry designations such as IIA, AIC, AEI and/or CPCU

About Us

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 www.crawco.com.

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
  • Sustainability programs 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

Job Summary

JOB TYPE

Other

INDUSTRY

Business Services

SALARY

$75k-96k (estimate)

POST DATE

04/11/2023

EXPIRATION DATE

03/15/2025

WEBSITE

crawfordgroup.com

HEADQUARTERS

SAN JOSE, CA

SIZE

25 - 50

FOUNDED

1997

TYPE

Private

CEO

MONTE CRAWFORD

REVENUE

<$5M

INDUSTRY

Business Services

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Crawford Group is a consulting firm that connects event and marketing communication professionals for their marketing services.

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The following is the career advancement route for Senior Claims Examiner - Workers Compensation positions, which can be used as a reference in future career path planning. As a Senior Claims Examiner - Workers Compensation, it can be promoted into senior positions as a Claims Examiner IV that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Senior Claims Examiner - Workers Compensation. You can explore the career advancement for a Senior Claims Examiner - Workers Compensation below and select your interested title to get hiring information.

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