Claim Examiner - Workers Compensation
Crawford & CompanyUnited States30+ days ago
Job type
- Full-time
- Remote
Job descriptionReceives 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. Bachelor's degree or equivalent experience required. Comprehensive claims investigations / settling experience 1-3 years experience in Claims or similar organization. Ability to work independently while assimilating various technical subjects. Good verbal or 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. 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 that give back to the communities in which we live and work A culture of respect, collaboration, entrepreneurial spirit and inclusion
Position Summary
- WORK FROM HOME OPPORTUNITY!
- Candidates must have experience managing MN WC claims.
- Experience in managing WI, IL, IN WC is a plus.
- Bonus Opportunities!
- Generous Employee Benefits!
- Multiple Employee Discounts!
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
Requirements
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Claim Examiner • United States