Sr Claim Examiner- WC

Crawford • New Orleans, LA

3d • Remote

About The Position

This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise. We’re looking for a Senior Claims Examiner - Workers Compensation with a passion for claims management to join our team! Licensing is required. Proven experience handling Workers Compensation claims. Strong background in managing litigated, and complex cases.

Requirements

• Licensing is required
• Proven experience handling Workers Compensation claims
• Strong background in managing litigated, and complex cases
• Investigate, evaluate, and resolve advanced, large-loss, and complex Workers Compensation claims with a high degree of autonomy.
• Analyze compensability, determine liability, manage reserves, and negotiate claim settlements.
• Partner with defense counsel on litigated matters and support team development by conducting training and mentoring new hires.
• Bachelor's degree or equivalent experience required.
• 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.
• Workers Compensation (WC) Adjuster License required according to jurisdictional requirements

Nice To Haves

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

Responsibilities

• Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
• Manages all aspects of investigative activity on complex claims.
• Directs the discovery and litigation strategy with legal counsel.
• 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.
• Settles claims 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.

Benefits

• Great Work From Home Opportunity
• Excellent Crawford Benefits that Empower Financial, Physical, and Mental Wellness
• Great Bonus Opportunity
• Generous Employee Referral Bonus Program
• Access to Multiple Employee Discounts

What This Job Offers

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