Jobs
>
Brea

    Senior Claim Examiner - Brea, United States - Crawford & Co.

    Crawford & Co.
    Crawford & Co. Brea, United States

    1 month ago

    Show more Collapse job
    Default job background
    Description
    • GREAT WORK FROM HOME CAREER OPPORTUNITY
    • Seeking candidates with experience managing CA WC claims
    • SIP is a requirement
    • Bonus Opportunities
    • Multiple Employee Discounts

    Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established authority on moderate-to-difficult claims. Reviews coverages, determines liability and compensability, secures information, arranges property damage appraisals and settles claims utilizing claims best practices. Evaluates and sets reserves using independent judgment. Assists supervisor and defense attorneys in preparing cases for litigations. Conducts training and mentors new hires.

    • 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.
    • Workers Compensation (WC) Adjuster License required according to jurisdictional requirements
    • 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.

    Preferred:

    • IIA, AIC, AEI, and/or CPCU Designations.

    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
    • 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
    • that give back to the communities in which we live and work
    • A culture of respect, collaboration, entrepreneurial spirit and inclusion

    Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.


    #LI-EM3


    We have other current jobs related to this field that you can find below

  • Techlink Systems

    Claims Examiner

    1 week ago


    Techlink Systems Brea, United States

    Job Description · Job DescriptionJob Title: Claims Examiner - Workers Compensation · Location: Brea, CA (Remote) · Contract Duration: Contract until 09/14/2024 with possibility to extend/convert to full time · PRIMARY PURPOSE: · To analyze complex or technically difficult workers ...

  • BCforward

    Claims Examiner

    1 week ago


    BCforward Brea, United States

    BCforward is looking for Claims Examiner - Workers Compensation @ Brea, CA 92821. · Position: Claims Examiner - Workers Compensation · Location: Brea, CA 92821 · Pay-Rate: $50/Hr. on W2 · PRIMARY PURPOSE: · To analyze complex or technically difficult workers' compensation claims ...

  • LanceSoft

    Claims Examiner

    1 week ago


    LanceSoft Brea, United States

    Job Description:To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best pract ...

  • Crawford & Company

    Senior Claim Examiner

    3 weeks ago


    Crawford & Company Brea, United States Regular Full time

    Position Summary · GREAT WORK FROM HOME CAREER OPPORTUNITY · Seeking candidates with experience managing CA WC claims · SIP is a requirement · Bonus Opportunities · Multiple Employee Discounts · Investigate and settle advanced, large loss, complex claims promptly and equitab ...


  • Crawford & Company Brea, United States

    Excellence In Everything We Touch · Position Summary · + GREAT WORK FROM HOME CAREER OPPORTUNITY · + Seeking candidates with experience managing CA WC claims · + SIP is a requirement · + Bonus Opportunities · + Multiple Employee Discounts · Investigate and settle advanced, ...

  • E-Solutions

    Claims Examiner

    1 week ago


    E-Solutions Whittier, United States

    POSITION SUMMARY: · The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims that are received from PHP affiliated medical groups and hospitals for ...

  • Innovative Management Systems Incorporated

    Claims Examiner

    2 weeks ago


    Innovative Management Systems Incorporated Whittier, United States

    :The Position. · We are looking for a detail-oriented individual that can accurately review, research, and analyze professional claims to determine and calculate the type and level of benefits based on established criteria and provider contracts. Experience in adjudication of Com ...

  • Innovative Management Systems, Inc.

    Claims Examiner

    3 weeks ago


    Innovative Management Systems, Inc. La Puente, United States

    Job Type · Full-time · Description · The Position. · We are looking for a detail-oriented individual that can accurately review, research, and analyze professional claims to determine and calculate the type and level of benefits based on established criteria and provider contr ...

  • Innovative Management Systems Incorporated

    Claims Examiner

    2 weeks ago


    Innovative Management Systems Incorporated City of Industry, CA, United States Full time

    : The Position. · We are looking for a detail-oriented individual that can accurately review, research, and analyze professional claims to determine and calculate the type and level of benefits based on established criteria and provider contracts. Experience in adjudication of ...


  • DB Insurance Anaheim, United States

    Company and Position Overview · DB Insurance Co Ltd (US Branch) is looking for a full-time LIABILITY CLAIMS ADJUSTER/EXAMINER who has experience handling Commercial General Liability/Auto BI Liability claims. · About DB Insurance · DB Insurance Co., Ltd. Is one of the largest ...


  • DB Insurance Anaheim, United States

    Company and Position Overview · DB Insurance Co Ltd (US Branch) is looking for a full-time LIABILITY CLAIMS ADJUSTER/EXAMINER who has experience handling Commercial General Liability/Auto BI Liability claims. · About DB Insurance · DB Insurance Co., Ltd. Is one of the largest ...


  • Abacus Brea, United States

    Department: 06311 | SRMS | R0036 | BUS : BP WC Brea Job Category: Claims Job Code: Sr Claim Examiner- WC:BS0160 Job Title: Sr Claim Examiner- WC Keywords: Number of Positions: 1 Remaining Positions: 1 Duties: Interprets and makes decisions using independent judgment on more compl ...


  • Sedgwick Claims Management Services Brea, United States

    We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. ESSENTIAL RESPONSIBILITIES MAY INCLUDE - Analyzing and processing claims through wel Workers Compensation, Claims, ...


  • HonorVet Technologies Brea, United States

    Title: Sr Claim Examiner- WC · Location: Brea, CA (Remote) · Duration: 2+ Month · Job Description · Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted. - Manages all asp ...


  • Sedgwick Brea, United States

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportuni ...

  • The Ladders

    Claims Examiner

    2 weeks ago


    The Ladders Anaheim, United States

    [Position] · Claims Examiner · [About Our Client] · One of the largest non-life insurance companies based in South Korea. We currently writes all lines of property and casualty insurance in CA, NY, OH, IN, PA, TX and HI State. · Financial Ratings: · - A.M. Best Rating: A+ (Su ...

  • BCforward

    Claims Examiner

    1 week ago


    BCforward Signal Hill, United States

    Claims Examiner - Workers Compensation · BC Forward is looking for Claims Examiner - Workers Compensation Located at Long Beach, CA Remote) · Position Title: Claims Examiner - Workers Compensation · Locations: Long Beach, CA Remote) · Anticipated Start Date: 05/06 · Expected D ...

  • Rose International

    Claims Examiner

    3 days ago


    Rose International Long Beach, United States

    **Only those lawfully authorized to work in the designated country associated with the position will be considered.** · **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client's business needs and requirements.* ...

  • BCforward

    Claims Examiner

    1 week ago


    BCforward Signal Hill, United States

    Claims Examiner - Workers Compensation · BCForward is looking for Claims Examiner- Workers Compensation at CA (Remote) · Position Title:Claims Examiner - Workers Compensation · Location: Long Beach, CA Remote) · Anticipated Start Date: ASAP · Expected Duration: 4+ Months Contra ...

  • Crawford & Company

    Senior Claim Examiner

    2 weeks ago


    Crawford & Company Brea, United States

    Excellence In Everything We Touch · Position Summary · Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established authority on moderate-to-difficult claims. Reviews coverages, determines liability and co ...