Sr Claim Examiner- WC

Crawford & Company • Fairfax, VA

112d

About The Position

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 company attorneys in preparing cases for litigations. Conducts training and mentors new hires.

Requirements

• Bachelor's degree or equivalent experience required.
• Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization.
• Workers Compensation (WC) Adjuster License required according to jurisdictional requirements.
• Strong written and oral communication, negotiation and presentation skills.
• Advanced analytical and problem solving skills.
• Ability to manage and prioritize multiple projects.
• Effective advanced interpersonal skills to interact with all levels of internal and external clients.

Nice To Haves

• Industry designations preferred but not required (IIA, AIC, AEI and/or CPCU).

Responsibilities

• Investigate and settle advanced, large loss, complex claims promptly and equitably.
• Review coverages, determine liability and compensability.
• Secure information and arrange property damage appraisals.
• Utilize claims best practices to settle claims.
• Evaluate and set reserves using independent judgment.
• Assist supervisor and company attorneys in preparing cases for litigation.
• Conduct training and mentor new hires.
• Manage all aspects of investigative activity on complex claims.
• Direct the discovery and litigation strategy with legal counsel.
• Analyze claims activity and prepare reports for clients/carriers and management.
• Establish reserves and authorize payments within scope of authority.
• Develop subrogation and third party recovery potential and follow reclaim procedures.
• Participate in claim reviews.

What This Job Offers

• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree