- GREAT WORK FROM HOME CAREER OPPORTUNITY
- Seeking candidates with experience managing CA WC claims
- SIP is a requirement
- Bonus Opportunities
- Multiple Employee Discounts
- 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.
- IIA, AIC, AEI, and/or CPCU Designations.
- 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
-
Claims Examiner
1 week ago
Techlink Systems Brea, United StatesJob 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 ...
-
Claims Examiner
1 week ago
BCforward Brea, United StatesBCforward 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 ...
-
Claims Examiner
1 week ago
LanceSoft Brea, United StatesJob 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 ...
-
Senior Claim Examiner
3 weeks ago
Crawford & Company Brea, United States Regular Full timePosition 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 ...
-
Senior Claim Examiner
1 week ago
Crawford & Company Brea, United StatesExcellence 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, ...
-
Claims Examiner
1 week ago
E-Solutions Whittier, United StatesPOSITION 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 ...
-
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 ...
-
Claims Examiner
3 weeks ago
Innovative Management Systems, Inc. La Puente, United StatesJob 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 ...
-
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 ...
-
Claims Adjuster/Claim Examiner
1 week ago
DB Insurance Anaheim, United StatesCompany 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 ...
-
Claims Adjuster/Claim Examiner
3 weeks ago
DB Insurance Anaheim, United StatesCompany 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 ...
-
Sr Claim Examiner- WC
4 days ago
Abacus Brea, United StatesDepartment: 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 ...
-
Claims Examiner Workers Compensation
4 weeks ago
Sedgwick Claims Management Services Brea, United StatesWe 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, ...
-
Sr Claim Examiner- WC
6 days ago
HonorVet Technologies Brea, United StatesTitle: 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 ...
-
Claims Examiner Workers Compensation
1 week ago
Sedgwick Brea, United StatesTaking 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 ...
-
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 ...
-
Claims Examiner
1 week ago
BCforward Signal Hill, United StatesClaims 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 ...
-
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.* ...
-
Claims Examiner
1 week ago
BCforward Signal Hill, United StatesClaims 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 ...
-
Senior Claim Examiner
2 weeks ago
Crawford & Company Brea, United StatesExcellence 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 ...
Senior Claim Examiner - Brea, United States - Crawford & Co.
1 month ago
![Default job background](https://contents.bebee.com/public/img/bg-user-ex-1.jpg)
Description
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.
Preferred:
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.
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