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Claim Examiner II - Workers' Compensation
at Crawford & Company in Florida
Based in Atlanta, Georgia, Crawford & Company (www.crawfordandcompany.com) is the world's largest independent provider of claims management solutions to the risk management and insurance industry as well as self-insured entities, with a global network of more than 700 locations in 63 countries. The Crawford System of Claims SolutionsSM offers comprehensive, integrated claims services, business process outsourcing and consulting services for major product lines including property and casualty claims management, workers’ compensation claims and medical management, and legal settlement administration. The Company’s shares are traded on the NYSE under the symbols CRDA and CRDB.
Position Summary:
In this role, you will Investigate, evaluate, negotiate, and settle moderate difficulty type claims; take appropriate action to achieve results that have a positive impact on profitability. Settle claims for assigned lines of business promptly and equitably under general supervision.
Responsibilities:
Receives claim assignment, confirms policy coverages and directs acknowledgement of claims.
Interprets and makes decisions using independent judgment on moderate difficulty claims and policy coverages and determines if coverages apply to claims submitted.
Investigates, evaluates, negotiates and adjudicates first and third party claims to determine validity and verify extent of damage by telephone contact with clients, claimants, witnesses or other parties as required.
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.
Make settlement decisions 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.
Education:
Bachelor’s degree or equivalent experience required.
Knowledge and Skills:
Ability to work independently while assimilating various technical subjects.
Good verbal and written communication skills.
Demonstrated ability to gather and analyze information, determine a course of action and implement the selected course of action.
Strong ability to identify, analyze and solve problems.
Effective interpersonal skills to be capable of dealing with external sources and all levels of employees.
Experience:
Comprehensive claims investigations/settling experience with 1-2 years experience in Claims or similar organization. Workers Compensation (WC) Adjuster.
In addition to a competitive salary, Crawford offers you:
Career advancement potential locally, nationally and internationally. Crawford & Company has more than 700 locations in 63 countries
On-going training opportunities through every stage of your career
Strong benefits package including health, dental, and life insurance; employee stock purchase plans; tuition reimbursement and so much more.
Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V
How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://broadspire.contacthr.com/16199853
Position Summary:
In this role, you will Investigate, evaluate, negotiate, and settle moderate difficulty type claims; take appropriate action to achieve results that have a positive impact on profitability. Settle claims for assigned lines of business promptly and equitably under general supervision.
Responsibilities:
Receives claim assignment, confirms policy coverages and directs acknowledgement of claims.
Interprets and makes decisions using independent judgment on moderate difficulty claims and policy coverages and determines if coverages apply to claims submitted.
Investigates, evaluates, negotiates and adjudicates first and third party claims to determine validity and verify extent of damage by telephone contact with clients, claimants, witnesses or other parties as required.
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.
Make settlement decisions 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.
Education:
Bachelor’s degree or equivalent experience required.
Knowledge and Skills:
Ability to work independently while assimilating various technical subjects.
Good verbal and written communication skills.
Demonstrated ability to gather and analyze information, determine a course of action and implement the selected course of action.
Strong ability to identify, analyze and solve problems.
Effective interpersonal skills to be capable of dealing with external sources and all levels of employees.
Experience:
Comprehensive claims investigations/settling experience with 1-2 years experience in Claims or similar organization. Workers Compensation (WC) Adjuster.
In addition to a competitive salary, Crawford offers you:
Career advancement potential locally, nationally and internationally. Crawford & Company has more than 700 locations in 63 countries
On-going training opportunities through every stage of your career
Strong benefits package including health, dental, and life insurance; employee stock purchase plans; tuition reimbursement and so much more.
Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V
How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://broadspire.contacthr.com/16199853
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Published on Jun 05, 2010
Viewed: 287 times
Viewed: 287 times
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