Position Summary
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 defense attorneys in preparing cases for litigations. Conducts training and mentors new hires.
Responsibilities
Requirements
Bachelor’s degree or equivalent experience required.
Workers Compensation (WC) Adjuster License required according to jurisdictional requirements
Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization.
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.
Effective advanced interpersonal skills to effectively interact with all levels of internal and external clients.
Preferred:
.
When you accept a job with Crawford, you become a part of the One Crawford family.
Senior Claims Examiner -Workers Compensation (CA) • CA0057, 135 South State College Blvd Suite 100 , Brea, CA
Receives claim assignment, confirms policy coverages and directs acknowledgement of claims.Interprets and makes decisions using independent judgment on moderate difficulty claims and policy coverag...Show more
Workers Compensation Claims Examiner | Hybrid (Orange, California).By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around t...Show more
To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adju...Show more
Senior Claims Examiner Workers Compensation (California).This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise.Offers Work...Show more
At RPS, we don’t just embrace bold ideas, we make them happen.We’re a team of entrepreneurs, big-picture thinkers, and passionate experts who thrive on possibility.Every day, we collaborate across ...Show more
Remote Note: Must have multiple years' experience handling CA WC.Duties: Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if cov...Show more
Contract to hire potential for the right candidate! The claims examiner reports directly to the claims manager.They are primarily responsible for the processing functions (operation, adjudication, ...Show more
We’re Hiring: Claims Examiner | Whittier, CA (Onsite).This is a great opportunity for candidates with strong claims adjudication experience in a managed care environment.Monday–Friday | 7:00 AM – 3...Show more
Claims Senior Auto AdjusterJob Summary The Claims Senior Auto Adjuster supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of material damage, property...Show more
Workers Compensation Claims Examiner.Finding a remote job that fits your lifestyle isn't always easy.We're seeking a Workers Compensation Claims Examiner to work at a premier client in Pasadena, Ca...Show more
A leading insurance company in Brea, California is seeking a Senior Technical Expert to manage complex D&O and E&O claims.This role requires a minimum of 10 years of experience, expertise in specia...Show more
Hybrid - 2 days in the office (Brea, California or Las Vegas, NV).Salary $90k-$94k (CA) or $86k-$89k (NV) (pending experience possible negotiation).Bonus of $400 a month w/another bonus in the depa...Show more
Sr claim examiner- wc 03-month contract with possible extension remote note: must have multiple years' experience handling ca wc.Show more
Location: 9557 Greenleaf Avenue, Whittier, CA.Shift: Monday - Friday - 07:00am - 03:30pm.Please Note Orientation Time May Differ Than Shift Times Listed Duration - 13 weeks ***.Show more
Senior Workers Compensation Claims Specialist.Property & Casualty Insurance Industry.The perfect applicant will evaluate claims data and carry out inquiries into both routine and moderately complex...Show more
Location: Whittier, CA 90601 Duration: 13 weeks / 3+ Months Shift: Day Shift | MondayFriday | 07:00 AM - 03:30 PM.Show more
PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to en...Show more
Workers Compensation Claims Examiner.Preferred SIP Certification Medical facilities.PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits d...Show more
