Investigate, evaluate, negotiate, and settle moderate difficulty type claims;
takes appropriate action to achieve results that have a positive impact on
profitability. Settle claims for assigned lines of business promptly and
equitably under general supervision.
RESPONSIBILITIES
•; Receives claim assignment, confirms policy coverages and directs
acknowledgement of claims.
•; Interprets and makes decisions using independent judgment on moderate
difficulty claims and policy coverages and determines if coverages apply to
claims submitted.
•; Investigates, evaluates, negotiates and adjudicates first and third party
claims to determine validity and verify extent of damage by telephone contact
with clients, claimants, witnesses or other parties as required.
•; 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.
•; Make settlement decisions 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
QUALIFICATIONS
Bachelor's degree or equivalent experience required.
Comprehensive claims investigations/settling experience with 1-3 years
experience in Claims or similar organization.
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 be capable of dealing with external sources
and all levels of employees.
Industry Designations: Preferred: IIA, AIC, AEI, and/or CPCU.
License Requirements: Per State or Jurisdictional requirements.
#LI-ET1 #LI-Remote
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 [https://www.crawco.com/].
When you accept a job with Crawford, you become a part of the One Crawford
family. And as part of the One Crawford family, we offer a comprehensive Total
Rewards package to our employees to assist with their financial,
health/wellness, continuing education/training and other needs:
Competitive base pay
> - The Pay Range/Salary represents the anticipated low and high pay that may be
> offered for this position. To determine the actual offer, Crawford considers a
> wide range of factors including the candidate’s previous experience and
> education, market rates, minimum pay requirements for the applicable
> jurisdiction, business segment, supply/demand, and scheduled hours.
Bonus/Incentive Pay and other Performance-Based Rewards, if applicable.
We offer a well-rounded benefits package that encourages wellness and helps
our employees to be an educated healthcare consumer. The core benefits
offered include:
> - Medical, Dental and Vision Plans
> - Prescription Drugs
> - HSA, HRA, and FSA Accounts
> - Paid Holidays, Vacation and Sick Leave
> - 401(k) Retirement Plan
> - Tuition Assistance
> - Paid Parental Leave
> - Supplemental Health Benefits
> Other Benefits currently available at no cost include:
> - Enhanced Mental Health Support
> - Virtual Physical Therapy
> - Caregiving Services
> - Life Assistance Program
> The above information highlights some of the benefits currently available to
> eligible full-time employees.
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.