🚀 We're Hiring: Remote Claims Specialist - Liability
Looking for a rewarding remote career? Join our team as a Remote Claims
Specialist - Liability! You'll manage and resolve low-complexity liability
claims, maintain accurate documentation, and make claim decisions within
delegated authority while delivering exceptional service.
What You'll Do:
• Manage and resolve non-complex liability claims
• Handle Fast Track and Incident Only claims from start to finish
• Maintain accurate claim documentation and monitor open files
• Ensure timely claim closure and billing
• Make claim decisions within delegated authority limits
If you're detail-oriented, organized, and ready to make an impact, we'd love to
hear from you. Apply today! 🌟
RESPONSIBILITIES
Conducts investigations of claims to confirm coverage and to determine
liability, compensability, and damages. Works closely with claimants,
witnesses and members of the medical profession and other persons pertinent
to the investigation and processing of claims.
Verifies policy coverage for submitted claims and notifies the insured of any
issues; determines and establishes reserve requirements, adjusting reserves
within designed authority, as necessary, during the processing of the claim.
Identifies applicable wage loss expenses and wage exposures.
Documents receipt and contents of claim documents including medical reports,
police reports etc. Interacts frequently with claimant to understand nature
and extent of injury and medical conditions. Reviews and handles other
correspondence within authority including material from the team members,
and/or clients.
Approves payments within scope of payment authority
Evaluate claims for potential fraud issues, loss control and recovery in
accordance with insurance policy contracts, medical bill coding rules and
state regulations.
Keep Team Manager informed verbally and in writing of activities and problems
within assigned area of responsibility; refer matters beyond limits of
authority and expertise to Team Manager for direction.
With the team managers' guidance, provides input on the completion of status
reports, initiate's activity checks and/or widow's statement of dependency
forms.
Completes all reporting forms and file documentation.
Adheres to client and carrier guidelines and prepares written updates for
supervisor to review.
Develops subrogation/third party recovery potential and follows recovery
procedures
Participates in claim reviews as applicable.
Performs other related duties as required or requested.
QUALIFICATIONS
College degree or the equivalent education and experience.
Knowledge of claims and familiarity with claims terminology gained through
industry experience and/or through specialized courses of study (Associate in
Claim designation, etc).
Demonstrates a thorough working knowledge of claim processing and claim
policies and procedures.
Demonstrates an understanding of basic medical terminology and appropriate
medical tests for claimed conditions
Demonstrates effective and diplomatic oral and written communication skills.
Demonstrates a customer-focused approach including the ability to identify
and understand customer needs, and interacts effectively with others.
Must have or secure and maintain the appropriate license(s) as required by
the state(s) at the adjuster/supervisory/management level. Must possess a
valid driver's license. Must complete continuing education requirements as
outlined by Crawford Educational Services. Additional courses may be required
by jurisdiction for maintenance of license.
#LI-ET1
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.