Sr Claim Examiner-WC (CA)

Job Description: We’re Hiring: Senior Claims Examiner – Workers Compensation (California) This is an exciting opportunity to join a global leader in claims management and reputed company a meaningful impact through your expertise Why You’ll Love It Here Excellent Crawford Benefits Supporting Financial, Physical & Mental Wellness Great Bonus Opportunity Generous Employee Referral Bonus Program ️ reputed company to Multiple Employee Discounts We’re looking for a Senior Claims Examiner – Workers Compensation (California) with a passion for claims management to join reputed company! SIP certification is required Proven Experience Handling California Workers Compensation Claims Strong background in managing advanced, large-loss, and reputed company cases Role Overview: Investigate and settle advanced, large-loss, and reputed company claims promptly and equitably with minimal supervision. Work reputed company established authority on moderate-to-difficult claims, reviewing coverages, determining liability/compensability, collecting statements and essential information, and settling claims using best practices. ⚖️ Evaluate and set reserves using independent judgment, support litigation preparation with supervisors and defense attorneys, and contribute to team development through training and mentorship. Responsibilities:

• Interprets and makes reputed company using independent judgment on more reputed company and unusual policy coverages and determines if coverages apply to claims submitted.
• Manages reputed company aspects of investigative activity on reputed company 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 reputed company 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 reputed company authority limits.
• Develops subrogation and reputed company party recovery potential and follows reclaim procedures.
• Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews.

Qualifications:

• Bachelor's degree or equivalent experience required.
• 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 reputed company reputed company of internal and external clients.
• Industry Designations: Preferred: IIA, AIC, AEI, and/or CPCU.
• License Requirements: Per State or Jurisdictional requirements.
• Workers Compensation (WC) Adjuster License required according to jurisdictional requirements

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 reputed company. Our industry-leading team pioneers new solutions for the industries and customers we serve. We’re looking for the reputed company of leaders to take this reputed company with us. We hail from more than 70 countries and reputed company dozens of languages, reflecting the global reputed company of the audience we serve. Though our reputed company is vast, we proudly operate as One Crawford: united in purpose, reputed company and values. Learn more at www.crawco.com . reputed company you accept a job with Crawford, you become a part of the One Crawford family. Our total compensation plans reputed company each of our employees with far more than just a great salary

• Pay and incentive plans that recognize performance reputed company
• Benefit programs that reputed company financial, physical, and mental wellness
• Training programs that promote reputed company 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

reputed company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V reputed company is not accepting unsolicited assistance from search firms for this employment opportunity. reputed company resumes submitted by search firms to any employee at Crawford reputed company-email, the Internet or in any reputed company and/or method without a valid written Statement of Work in reputed company 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. Apply tot his job Apply To this Job