Sr Claim Examiner- WC

Crawford & Company • Las Vegas, NV

1d • Remote

About The Position

Investigates and settles advanced, large-loss, and complex workers’ compensation claims promptly and equitably under minimal supervision, working within established authority on moderate-to-difficult claims. Reviews coverage, determines liability and compensability, gathers information, arranges property-damage appraisals, and settles claims using claims best practices. Evaluates and sets reserves using independent judgment, assists supervisors and company attorneys with litigation preparation, and trains and mentors new hires.

Requirements

• Bachelor's degree or equivalent experience.
• Four to eight years of technical claims investigation and settlement 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.
• Workers Compensation (WC) Adjuster License required according to jurisdictional requirements.

Nice To Haves

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

Responsibilities

• Interpret and make independent decisions about complex and unusual policy coverage, determining whether coverage applies to submitted claims.
• Manage investigative activity on complex claims and direct discovery and litigation strategy with legal counsel.
• Analyze claims activity and prepare reports for clients, carriers, and management.
• Establish reserves using independent judgment and expertise, authorize payments within authority, settle claims cost-effectively, and ensure timely disbursement.
• 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.
• Participate in claim reviews.
• Assist supervisors and company attorneys in preparing cases for litigation.
• Conduct training 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
• 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