Excellence In Everything We Touch

Position Summary

Under general direction, supervises the investigation, management, and timely disposition of Workers Compensation claims within account, carrier and/or company guidelines, and assists the VP and/or Assistant VP of Claims in managing the Service Center.

Responsibilities

• Establishes and communicates performance standards and objectives and conducts performance appraisals. Administers corrective action with regards to any performance deficiencies in line with human resource policies and procedures. Recommends/approves salary adjustments, promotions, transfers and dismissals. Administers all company human resource policies and procedures, communicates to staff, and ensures compliance both for staff and self. Counsels team members on educational and job opportunities which will enhance their career development; keeps staff informed of current trends, changes or new developments in the department and company with periodic meetings.
• Reviews, analyzes, and assigns losses to the appropriate claim examiner with directives. Ensures all directives are executed appropriately. Ensures workloads are balanced and in line with defined staffing models. Makes recommendations to improve productivity and ensure timely closures.
• Reviews files daily to provide instruction for further requirements needed based on best practice standards. Assists with reserve recommendations and approvals. Coaches personnel on investigations, damage/medical evaluations, trains on reserving evaluations and settlement techniques. Ensures staff adheres to both internal and external compliance standards and protocols for large loss reporting guidelines. Attends and prepares staff for claim reviews with clients, carriers and brokers.
• Keeps VP/Assistant Vice President of Claims informed verbally and in writing of activities and problems within assigned area of responsibility; refers matters beyond limits of authority and expertise to VP/Assistant VP of Claims for direction. Performs other related work as required or requested.
• Works within the Risk Tech Claim System and all ancillary systems. Organizes workflows of the Risk Tech Claim System and all ancillary systems to provide maximum productivity. May assist in the training of new and existing staff in the operation and use of the Risk Tech claim system and other various systems.

Requirements

• Bachelor’s degree or equivalent experience required
• Five or more years of progressive experience as a Claim Examiner, or the equivalent, demonstrating the technical expertise to handle the most complex cases with a high degree of judgment and discretion.
• Previous supervisory experience desirable
• Industry designations preferred but not required (IIA, AIC, AEI and/or CPCU)
• Where applicable, has passed state licensing requirements for line(s) of insurance handled.
• Settlement Authority: As noted in internal, client and or carrier guidelines.
• Continuous interaction with adjusters, claimants and clients to exchange information; decisions may require analysis of alternative courses of action.
• Excellent verbal and written communication skills.
• Analytical ability.
• Good mathematical aptitude.
• Good organizational and interpersonal skills.
• Ability to effectively manage, supervise, and develop employees.
• Thorough knowledge of services being delivered by branch office.
• In-depth knowledge of insurance coverages, practices and negotiating skills.
• Familiarity with legal, medical and technical disciplines.

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.

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