Sr Claim Examiner- WC

Crawford • New Orleans, LA

2d • Remote

About The Position

We’re looking for a Senior Claims Examiner – WC with a passion for claims management to join our team! Licensing is required Proven experience managing Multi‑jurisdictions Workers Compensation claims! What You'll Do: 🔍 Handle and settle advanced, large‑loss, and complex claims with minimal supervision, reviewing coverages and determining liability and compensability. 🗂️ Gather key information by securing statements and documentation, then settle claims using established best practices. 📊 Evaluate and set reserves , support litigation preparation with supervisors and defense attorneys, and contribute to team growth by training and mentoring 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.
• 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

• 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: Mid Level
• Number of Employees: 5,001-10,000 employees