Sr Claim Examiner-Liability

Crawford & Company•Tampa, FL
•Remote

About The Position

Investigates and settles advanced, large-loss, and complex liability claims promptly and equitably, working within established authority and with minimal supervision. Reviews coverage, determines liability and compensability, secures information, arranges property damage appraisals, and applies claims best practices. Evaluates and sets reserves using independent judgment, assists supervisors and defense attorneys with litigation preparation, and trains and mentors new hires. The role manages complex investigations and litigation strategy with legal counsel, authorizes payments within the scope of authority, and works to settle claims cost-effectively while issuing disbursements promptly. It also identifies subrogation and third-party recovery opportunities, prepares claims activity reports for clients, carriers, and/or management, and participates in claim reviews. Crawford describes its purpose as helping restore people’s lives and communities, and highlights employee growth, innovation, collaboration, inclusion, continuous learning, and sustainability programs. Its total rewards package includes competitive base pay, potentially applicable performance-based rewards, benefits, training, and other programs. Some benefits are available to eligible full-time employees.

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 all levels of internal and external clients.
  • Meet license requirements applicable to the relevant state or jurisdiction.

Nice To Haves

  • Industry designations preferred: IIA, AIC, AEI, and/or CPCU.

Responsibilities

  • Interpret complex and unusual policy coverages independently and determine whether coverage applies to submitted claims.
  • Manage all aspects of investigative activity on complex claims.
  • Direct discovery and litigation strategy with legal counsel.
  • Establish reserves using independent judgment and expertise, and authorize payments within the scope of authority.
  • Settle claims cost-effectively and ensure timely issuance of disbursements.
  • Settle claims promptly and equitably and issue company drafts for payments within authority limits.
  • Develop subrogation and third-party recovery potential and follow reclaim procedures.
  • Analyze claims activity and prepare reports for clients, carriers, and/or management.
  • Participate in claim reviews.
  • Assist supervisors and defense attorneys in preparing cases for litigation.
  • Train and mentor new hires.

Benefits

  • Competitive base pay.
  • Bonus/incentive pay and other performance-based rewards, if applicable.
  • 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.
  • Enhanced mental health support at no cost.
  • Virtual physical therapy at no cost.
  • Caregiving services at no cost.
  • Life Assistance Program at no cost.
  • Training programs supporting continuous learning and career progression.
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