Sr Claim Examiner-Liability

Crawford & Company • United States,

23h • Remote

About The Position

The Senior Claims Examiner – Liability manages complex, high-exposure claims from investigation through resolution. The role applies independent judgment to coverage decisions, liability determinations, reserve setting, and claim settlements. It also directs investigative, discovery, and litigation activity with legal counsel; identifies recovery opportunities; prepares claim reports; and participates in claim reviews. The position includes mentoring and training new team members and collaborating with supervisors and defense attorneys. The role is remote.

Requirements

• Bachelor’s degree or equivalent experience.
• Four to eight years of technical claims investigation and settling experience in Claims or a 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, including the ability to manage and prioritize multiple projects.
• Advanced interpersonal skills to interact effectively with internal and external clients at all levels.
• License as required by state or jurisdiction.

Nice To Haves

• Industry designations such as IIA, AIC, AEI, and/or CPCU are preferred.

Responsibilities

• Lead advanced investigations and manage all investigative activity on complex claims.
• Interpret policy coverages and determine whether coverage applies to submitted claims, using independent judgment on complex or unusual matters.
• Direct discovery and litigation strategy in coordination with legal counsel.
• Establish reserves using independent judgment and expertise, and authorize payments within assigned authority.
• Settle claims promptly, equitably, and cost-effectively; issue company drafts and ensure timely disbursement of payments within authority limits.
• Develop subrogation and third-party recovery potential and follow reclaim procedures.
• Analyze claim activities, prepare reports for clients, carriers, and/or management, and participate in claim reviews.
• Partner with supervisors and defense attorneys to prepare cases for litigation.
• Mentor and train new team members.

Benefits

• Competitive base pay.
• Bonus/incentive pay and other performance-based rewards, if applicable.
• Medical, dental, and vision plans.
• Prescription drug benefits.
• HSA, HRA, and FSA accounts.
• Paid holidays, vacation, and sick leave.
• 401(k) retirement plan.
• Tuition assistance.
• Paid parental leave.
• Supplemental health benefits.
• Enhanced mental health support.
• Virtual physical therapy.
• Caregiving services.
• Life Assistance Program.
• Training programs that promote continuous learning and career progression.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior