- 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.
- Bachelor's degree or equivalent experience required. Industry designations preferred but not required (IIA, AIC, AEI and/or CPCU)..
- 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
- Pay and incentive plans that recognize performance excellence
- Benefit programs that empower financial, physical, and mental wellness
- Training programs that promote continuous learning and career progression while enhancing job performance
- Sustainability programs that give back to the communities in which we live and work
- A culture of respect, collaboration, entrepreneurial spirit and inclusion
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Claims Examiner- Property Claims
1 month ago
Only for registered members Boise, IDYou'll play a critical role in evaluating coverage and resolving claims as a Claims Examiner at USLI. Collaborate with teams and stakeholders to investigate claims effectively. · ...
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Claims Examiner- Specialty Claims
4 weeks ago
Only for registered members Boise, ID+ Claims Examiner- Specialty · Job Title: Claims Examiner- Specialty · About Us: · At USLI, we're not just about insurance — we are committed to making a difference, both internally and externally. · + Your Role: · You'll play a critical role in evaluating coverage, liability, a ...
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Sr Claim Examiner- WC
2 days ago
Only for registered members Boise, ID, United StatesWe're Hiring: Sr. Claim Examiner – WC (Idaho) Ready to take on high‑stakes claims and make a real impact?Review coverage, determine liability, and drive fair resolutionsSecure critical information and arrange property damage appraisalsBachelor's degree or equivalent experience re ...
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Claims Examiner Personal Lines
1 month ago
Only for registered members Boise, IDCoverage Review: Verify coverage by reviewing the first notice of loss and policy terms; prepare disclaimers and reservation of rights letters as needed. · Thorough Investigation: Conduct comprehensive claim investigations, including liability and damages assessments, witness int ...
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Sr Claim Examiner- WC
3 weeks ago
Only for registered members Boise Full timeInvestigate and settle advanced claims promptly and equitably under minimal supervision. · ...
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Claims Investigative Examiner
1 week ago
Only for registered members Meridian, IDWe are seeking a Claim Investigator Examiner who will conduct claim reviews and investigations of health insurance fraud, waste, and abuse. · ...
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Claims Specialist
2 weeks ago
Only for registered members BoiseThe temporary employee assigned to claims will scan and log bills into the IRIS system, · contact providers to request missing documentation, · and route bills in the system to the Claims Examiner for payment.Strong attention to detail and accuracy. · ...
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Claims Specialist
1 month ago
Only for registered members BoiseThe temporary employee assigned to claims will scan and log bills into the IRIS system. · ...
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Claims Specialist
5 days ago
Only for registered members Boise, IDThe temporary employee assigned to claims will scan and log bills into the IRIS system contact providers to request missing documentation and route bills in the system to the Claims Examiner for payment. · ...
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Claims Specialist
1 month ago
Only for registered members Boise, IDThe temporary employee assigned to claims will scan and log bills into the IRIS system, · contact providers to request missing documentation, · and route bills in the system to the Claims Examiner for payment. ...
- Only for registered members Boise
The Benefits Administration Senior Claims Data Specialist (TRS2) will work in the Claims and Benefits Department of the agency. The incumbent will evaluate claim records to determine whether workers' compensation benefits are paid accurately, process electronic claim filings, and ...
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Claim Specialist
1 month ago
Only for registered members Boise, IDThe temporary employee assigned to claims will scan and log bills into the IRIS system contact providers to request missing documentation route bills in the system to the Claims Examiner for payment. · ...
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Senior Claims Specialist
1 month ago
Only for registered members Boise, IDThe Senior Claims Specialist (TRS2) will work in the Claims and Benefits Department of the agency. The incumbent will evaluate claim records to determine whether workers' compensation benefits are paid accurately, · process electronic claim filings, · perform a variety of calcula ...
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SIU Program Integrity Investigator
1 month ago
Only for registered members Boise $58,440 - $93,500 (USD)This position is responsible for comprehensive management and ownership of fraud waste and abuse investigations including development and presentation of investigative results. · Prioritize triage manage workload to meet internal performance metrics regulatory contractual require ...
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Relay Technician I
1 week ago
Only for registered members BoiseThe Relay Technician I performs electrical testing, maintenance and troubleshooting relays in electrical power stations under supervision. · ...
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Relay Technician I
1 week ago
Only for registered members BoiseThe Relay Technician I performs electrical testing maintenance and troubleshooting relays in electrical power stations under supervision.Your duties involve using relay test equipment and tools to test different types of relays inside the electrical substation. · Perform entry le ...
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Project Contract Attorney
4 days ago
Only for registered members Boise, ID, United States+Manage all aspects of the Project Client contract.+Troubleshoot project issues.+Review draft documents.+Manage project related correspondence+Resolve claims on behalf of the Company. · Job summary: The Project Contract Attorney will manage client contracts from inception through ...
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Area Business Lead, CNS
1 month ago
Only for registered members Boise $157,700 - $235,750 (USD)The Area Business Lead will report to the respective Sr. Business Director (SBD) and be grouped into a regional area. The SBDs have significant autonomy to assess unique market priorities and customize decisions that reflect local customer needs.This role is accountable for orche ...
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Relay Technician II
1 week ago
Only for registered members BoiseThe Relay Technician II performs electrical testing, maintenance and troubleshooting relays in electrical power stations under minimal supervision. · ...
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Relay Technician I
1 week ago
Only for registered members Boise Full timeThe Relay Technician I perform electrical testing, maintenance and troubleshooting relays in electrical power stations under supervision. · Perform entry level testing relaying equipment. · ...
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Relay Technician I
6 days ago
Only for registered members BoiseThe Relay Technician I perform electrical testing,maintenance and troubleshooting relays in electrical power stations under supervision. · ...
Sr Claim Examiner- WC - Boise - Crawford & Co
Description
Job DescriptionWe're Hiring: Sr. Claim Examiner - WC (Idaho)
Ready to take on high-stakes claims and make a real impact? We're seeking an experienced Claims Adjuster who excels at handling advanced, large-loss, and complex cases-with the independence to make sound decisions and the expertise to deliver fair, timely outcomes.
Important Requirement:
Candidates must live within the state of Idaho and have an active Idaho Adjusting License.
What You'll Do:
Review coverage, determine liability, and drive fair resolutions
Secure critical information and arrange property damage appraisals
Set reserves using sharp judgment and analytical expertise
Partner with supervisors and defense attorneys to prepare cases for litigation
Mentor and train new team members
If you excel in fast-paced environments and love solving complex problems, this role is for you.
Take the next step and bring your expertise to a team that truly values it
Responsibilities
About Us
Why Crawford?
Because a claim is more than a number - it's a person, a child, a friend. It's anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community - one claim at a time.
At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We're looking for the next generation of leaders to take this journey with us.
We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at
When you accept a job with Crawford, you become a part of the One Crawford family.
Our total compensation plans provide each of our employees with far more than just a great salary
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Claims Examiner- Property Claims
Only for registered members Boise, ID
-
Claims Examiner- Specialty Claims
Only for registered members Boise, ID
-
Sr Claim Examiner- WC
Only for registered members Boise, ID, United States
-
Claims Examiner Personal Lines
Only for registered members Boise, ID
-
Sr Claim Examiner- WC
Full time Only for registered members Boise
-
Claims Investigative Examiner
Only for registered members Meridian, ID
-
Claims Specialist
Only for registered members Boise
-
Claims Specialist
Only for registered members Boise
-
Claims Specialist
Only for registered members Boise, ID
-
Claims Specialist
Only for registered members Boise, ID
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Technical Records Specialist 2 Industrial Commission
Only for registered members Boise
-
Claim Specialist
Only for registered members Boise, ID
-
Senior Claims Specialist
Only for registered members Boise, ID
-
SIU Program Integrity Investigator
Only for registered members Boise
-
Relay Technician I
Only for registered members Boise
-
Relay Technician I
Only for registered members Boise
-
Project Contract Attorney
Only for registered members Boise, ID, United States
-
Area Business Lead, CNS
Only for registered members Boise
-
Relay Technician II
Only for registered members Boise
-
Relay Technician I
Full time Only for registered members Boise
-
Relay Technician I
Only for registered members Boise