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Claim Examiner II-Workers' Comp | Crawford & Company | Hauppauge, NY
Based in Atlanta, Georgia, Crawford & Company is the world's largest
independent provider of claims management solutions to insurance
companies and self-insured entities, with a global network of more than
700 offices in 63 countries. Major service lines include property and
casualty claims management, legal settlement administration, including
class action and warranty inspections, and risk management information
services. Broadspire, a wholly owned subsidiary, offers a broad array of
customized casualty, medical management, and integrated disability
management. Crawford's shares are traded on the NYSE under the symbols
CRDA and CRDB.
Summary of Role:
Investigate, evaluate, negotiate, and settle moderate difficulty type
claims; takes 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.
Must be licensed in the state of New York.
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
Crawford offers excellent benefits, training and competitive salaries.
If you are interested in joining a leader in the claims management
industry, please apply now. EOE M/F/D/V
To apply for this position, please copy and paste the following link
into your browser address bar:
http://broadspire.contacthr.com/10451348
or submit your resume and salary requirements through our homepage at
http://www.crawfordandcompany.com/UShome.aspx
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