claim examiner

Chubb Insurance

<div><p>Chubb is currently seeking a Senior Claim Examiner to join its Fidelity team based in Whitehouse Station or Jersey City, NJ.
</p><p><b>POSITION RESPONSIBILITIES:
</b></p><ul><li>Effectively manage an active claim inventory of mid to high complexity commercial crime and financial institution fidelity bond, workplace violence and kidnap, ransom and extortion losses in accordance with Best Practices
</li><li>Handle claims from notification to resolution through timely and accurate investigations, coverage analyses, negotiation and problem solving skills within financial authority
</li><li>Consistently communicate claim developments, exposure analyses and requests for authority to management
</li><li>Deliver superior customer service through effective interaction with internal and external customers
</li><li>Effectively document all relevant events in a timely and efficient manner as cases develop, including evaluation of facts giving rise to the loss, coverage and exposure under various policy forms
</li><li>Create timely and accurate indemnity and expense reserves. Manage reserves throughout the life cycle of all files with appropriate documentation supporting any reserve changes
</li><li>Maintain a current diary to monitor claims for new developments, follow up on requests from internal and external customers, update management and complete diary activities
</li><li>Select, budget, scope and coordinate vendors including accountants and attorneys as needed and within guidelines
</li><li>Complete written reports and make presentations to provide information to management on claim developments
</li><li>Adhere to all statutory regulations and Unfair Claims Practices Acts
</li><li>Collaborate with recovery unit to assure that all recovery opportunities are identified and pursued
</li><li>Obtain and/or maintain current independent adjuster licenses as required
</li></ul><p><b>KNOWLEDGE, SKILLS AND ABILITIES:
</b><br>
&bull; Excellent written and oral communication skills
<br>
&bull; Demonstrated ability to deliver high caliber customer claim service
<br>
&bull; Advanced listening and negotiation skills
<br>
&bull; Advanced knowledge and attention to detail in insurance coverage and contracts, investigating claims and setting timely and accurate reserves
<br>
&bull; Strong organizational skills to independently manage own claim inventory
<br>
&bull; Ability to develop and maintain strong business relationships with a wide spectrum of people internally and externally
<br>
&bull; Strong collaboration skills
<br>
&bull; Some travel may be required
</p><p><b>EXPERIENCE AND EDUCATION </b>:
</p><ul><li>Bachelor&rsquo;s Degree required. CPCU and/or advanced degrees (e.g., law, accounting, finance, etc.) a plus
</li><li>3 years of financial lines claims experience including at least 3 years of Fidelity claim handling
</li><li>If you do not already have one, you will be required to obtain an applicable resident or designated home state adjusters license and possibly additional state licensure.
</li></ul><p>The pay range for the role is $73,200 to $106,800. The specific offer will depend on an applicant&rsquo;s skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website . The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.</p></div>
<br><div><div>Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.<br>
</div><div></div><br>
<div>At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.</div></div>

Claim Examiner

<div><p><b>Claims Specialist Employment Practices Liability
</b></p><p>Chubb is the world&rsquo;s largest publicly traded property and casualty insurer. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. At Chubb, we think about things differently. For us, insurance is about one thing: craftsmanship. It&rsquo;s who we are. It&rsquo;s what we do. It&rsquo;s how we serve our clients.
</p><p><b>Jo </b><b>b Summary:
</b></p><p><i>This is not your average Claims role.
</i></p><p>When you think of a job handling insurance claims, you may think about storm damage or auto accidents. Or maybe a large stack of paper?
</p><p>A career in Employment Practices Liability exposes you to emerging issues in the workplace that have been and remain at the center of national and global media. Issues such as the Me Too movement, Racial Injustice and Covid.
</p><p>In this paperless environment, you will use your analytical skills to resolve workplace claims.
</p><p>We will teach you about Employment Law, contracts and claims. You will use your influence skills and knowledge to partner with defense counsel and our insureds in resolving discrimination, harassment and other workplace related claims.
</p><p>The work is interesting. The environment is collaborative.
</p><p>Our Claims Professionals in Employment Practices Liability enjoy the work they do and working with their peers that come from a variety of backgrounds (including Law Enforcement, Human Resources, other disciplines in Claims and Legal, to name a few) and bring different perspectives into the team.
</p><p><b>Responsibilities after training include:
</b></p><ul><li>Contribute to a collaborative environment by raising new ideas and demonstrating teamwork, high motivation, positive behavior and effort to achieve goals and objectives.
</li><li>Complete accurate and timely coverage, liability and damage investigations and evaluations on complex Employment Practices Liability insurance policies.
</li><li>Establish, document and execute appropriate strategies to bring early and cost-effective resolution to assigned claims.
</li><li>Represent the company at meetings with management and business partners, as well as virtually at mediations.
</li><li>Effectively utilize technology systems and tools to track and manage caseload in most efficient and effective manner.
</li><li>Build and maintain productive relationships with internal and external customers, including clients, underwriters and agents.
</li><li>Consistently demonstrate sound claim handling practices by achieving compliance in areas including investigation, coverage, loss assessment, and case management.
</li><li>Assume part of training responsibilities for new claim examiners.
</li><li>Provide coaching and guidance to new claim examiners.</li></ul></div>
<br><div><ul><li>BA/BS College Degree Preferred. JD is helpful, but not required.
</li><li>3 to 5 years work experience, handling claims of a comparable complexity or working in a legal position.
</li><li>Excellent verbal and written communication skills.
</li><li>A personal commitment to superior performance that adds value to our company.
</li><li>Strong interpersonal skills with the ability to interact and build relationships with all levels of internal and external customers.
</li><li>An aptitude for evaluating, analyzing, and interpreting technical information.
</li><li>Sound decision making skills.
</li><li>Proven ability to work independently as well as part of a team.
</li><li>Must demonstrate a high level of initiative and leadership skills.
</li><li>Excellent time management, problem solving, and organizational skills are required.
</li><li>An ability to adapt to new ideas and situations.
</li><li>A willingness to use creative thinking to overcome obstacles and an ability to develop creative approaches to solving customer problems.
</li></ul><p><b>Additional Requirements:
</b><br>
<br>
Licensing: You must obtain and maintain required adjuster licenses within 60 days of hire.
</p><p>Training: Chubb managers, claim examiners and defense counsel provide a combination of classroom and on-the-job training to ensure our Claim Examiners are prepared to assume full claim handling responsibilities. The training will involve a wide range of knowledge and skill development, including:
</p><ul><li>Cultivating relationships with internal clients (e.g. underwriters)
</li><li>Developing the ability to analyze initial claim reports
</li><li>Developing an understanding of the legal system
</li><li>Understanding how to effectively investigate and document findings
</li><li>Understanding Chubb&rsquo;s products to appropriately determine coverage
</li><li>Learning to interpret and apply insurance contracts
</li><li>Learning how to negotiate settlements</li></ul></div>
<br><div><div>Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.<br>
</div><div></div><br>
<div>At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.</div></div>

Western & Southern Financial Group

<div>Overview:
<div>
Examines, investigates and evaluates information from policyholders, attorneys, physicians, hospital personnel, police departments, employers, State Medicaid personnel, funeral homes, Probate courts and other professionals needed to determine the disposition of life, annuity, health and disability claims within authority limits. Benefit and coverage decisions made are susceptible to litigation and/or significant monetary damages. In addition to claim handling, handles second-level support calls from the Client Relationship Center (CRC) and direct customer support to clients and financial representatives (i.e. outbound calls to settle express claims). Provides prompt and courteous customer service to external and internal customers and provides job-specific training for new hires in addition to training on specialized processes.</div>
Responsibilities:
<div><b>
What you will do:</b></div><ul><li>
Independently reviews and evaluates claims submitted on the company's life, annuity, health and disability products.</li><li>
Determines the company's liability using knowledge of policy provisions, medical terminology, disability duration, state regulations and tax requirements.</li><li>
Assures claim processing and payment procedures for death, cancer, ordinary/industrial accident and health and total and permanent disability claims according to company procedures and meets the appropriate state regulations.</li><li>
Determines proper payees, calculates benefits and releases payments up tp $100,000 on life insurance claims, $300,000 on annuity claims and $10,000 on critical illness claims. Conducts and controls investigations on contestable, accident, foreign and homicide claims up to $10,000.</li><li>
Handles client support calls, providing prompt and courteous service to internal clients, external clients and financial representatives.</li><li>
Exercises independent judgment in defining the nature and scope of the investigation.</li><li>
Selects outside investigation firms when appropriate and manages the costs associated with each investigation.</li><li>
Works directly with our Law Department to draft legal releases, affidavits, authorizations and agreements to settle a claim.</li><li>
Maintains compliance with applicable federal and state laws (e.g., HIPAA) related to privacy, security, confidentiality, and protection of personal information, including, but not limited to, personal health information, financial information, and personally identifiable information.</li><li>
Maintains comprehensive knowledge of state regulations and tax requirements that pertain to fixed annuity and life insurance claim processing.</li><li>
Responsible for completing project work as assigned by management.</li><li>
Projects include but are not limited to completing various monthly, quarterly and yearly reports.</li><li>
Performs other duties as assigned.</li><li>
Complies with all policies and standards.</li></ul>
Qualifications:
<ul><li>High School Diploma High school diploma, some college work preferred. - Preferred</li><li>
Demonstrated knowledge of claims administration including payment options, contract provisions and tax ramifications. - Preferred</li><li>
Must provide examples from work experience of maintaining a high degree of accuracy and excellent organizational skills associated with high volumes of work and/or multiple duties. -</li><li>
Demonstrated experience working effectively within a team. -</li><li>
Demonstrated excellent verbal and written communication skills with the ability to successfully interpret and communicate business needs to internal or external customers in a clear, focused and concise manner. -</li><li>
Demonstrated experience acquiring and assimilating new knowledge and skills. -</li><li>
Demonstrated experience identifying and resolving problems where independent decision-making and initiative were demonstrated. -</li><li>
Must provide examples of working under multiple deadlines and minimal supervision. -</li><li>
Demonstrated experience and proven strong analytical skills in identifying and quantifying problems arising from customer, policy/procedural changes, etc., and providing effective recommendations to resolve. -</li><li>
Working knowledge of word processing, spreadsheet and Microsoft Office applications. -</li><li>
LOMA 280 and 290, and 50% completion of ALHC designation (ICA) preferred and/or commensurate experience as outlined in the selection criteria section. Upon Hire - Preferred</li></ul><div><b>
Work Setting/Position Demands:</b></div><ul><li>
Works in an office setting and remains in a stationary position for long periods of time while working at a desk, on a computer or with other standard office equipment, or while in meetings.</li><li>
Requires the ability to verbally communicate and exchange accurate information to customers and associates on a regular basis.</li><li>
Requires visual acuity to read and interpret a variety of correspondence, procedures, reports and forms via paper and electronic documents, visual inspection involving small defects; small parts, and/or operation of machinery (including inspection); using measurement devices continuously. Visual acuity is required to determine accuracy, neatness, and thoroughness of work assigned.</li><li>
Requires the ability to prepare written correspondence, reports and forms using prescribed formats and conforming to rules of punctuation, grammar, diction, and style on a regular basis.</li><li>
Requires the ability to apply principles of logical thinking to define problems, collect data, establish facts, and draw valid conclusions</li><li>
Performs substantial movement of wrists, hands, and fingers for continuous computer work.</li><li>
Extended hours required during peak workloads or special projects/events.</li></ul><div><b>
Travel Requirements:</b></div><ul><li>
None</li></ul></div>

Crawford & Company

<div><div><p><b>We&rsquo;re Hiring: Senior Claims Examiner &ndash; Liability</b><br>
<br>
This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise.<br>
<br>
<b>✅ Why Join Crawford &amp; Company?</b><br>
 Great Work From Home Opportunity<br>
 Excellent Crawford Benefits that Empower Financial, Physical, and Mental Wellness<br>
 Great Bonus Opportunity<br>
 Generous Employee Referral Bonus Program<br>
️ Access to Multiple Employee Discounts<br>
<br>
We&rsquo;re looking for a Senior Claims Examiner &ndash; Liability with a passion for claims management to join our team!<br>
 Licensing is a requirement.<br>
✔️ Proven expertise in managing complex liability claims.<br>
<br>
<b> Role Overview:</b><br>
️ Investigate and settle advanced, large‑loss, and complex claims promptly and equitably under minimal supervision, while working within established authority on moderate‑to‑difficult claims.<br>
 Review coverages, determine liability and compensability, secure information, arrange property damage appraisals, and settle claims using claims best practices.<br>
 Evaluate and set reserves using independent judgment, assist supervisors and defense attorneys in preparing cases for litigation, and support team development by conducting training and mentoring new hires.</p>
</div><ul>
<li>Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.</li>
<li>Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel.</li>
<li>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.</li>
<li>Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits.</li>
<li>Develops subrogation and third party recovery potential and follows reclaim procedures.</li>
<li>Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews.</li>
</ul><ul><li>Bachelor's degree or equivalent experience required.</li>
<li>Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization.</li>
<li>Ability to work independently while assimilating various technical subjects..</li>
<li>Strong written and oral communication, negotiation and presentation skills.</li>
<li>Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects.</li>
<li>Effective advanced interpersonal skills to effectively interact with all levels of internal and external clients.</li>
<li>Industry Designations: Preferred: IIA, AIC, AEI, and/or CPCU.</li>
<li>License Requirements: Per State or Jurisdictional requirements.</li>
</ul>
<p>#LI-EM3 #LI-REMOTE</p>
Why Crawford?
<br>
<br>
Because a claim is more than a number &mdash; it&rsquo;s a person, a child, a friend. It&rsquo;s anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community &ndash; one claim at a time.
<br>
<br>
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&rsquo;re looking for the next generation of leaders to take this journey with us.
<br>
<br>
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 www.crawco.com.
<br>
<br>
When you accept a job with Crawford, you become a part of the One Crawford family.
<br>
<br>
Our total compensation plans provide each of our employees with far more than just a great salary
<br>
<ul><li>Pay and incentive plans that recognize performance excellence</li>
<li>Benefit programs that empower financial, physical, and mental wellness</li>
<li>Training programs that promote continuous learning and career progression while enhancing job performance</li>
<li>Sustainability programs that give back to the communities in which we live and work</li>
<li>A culture of respect, collaboration, entrepreneurial spirit and inclusion</li>
</ul><i>Crawford &amp; Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford &amp; 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.</i></div>

Sr Claim Examiner-Liability

<div><p><b>P2 Senior Claims Examiner - Employment Practices Liability
</b></p><p>Chubb is the world&rsquo;s largest publicly traded property and casualty insurer. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. At Chubb, we think about things differently. For us, insurance is about one thing: craftsmanship. It&rsquo;s who we are. It&rsquo;s what we do. It&rsquo;s how we serve our clients.
</p><p><b>Jo </b><b>b Summary:
</b></p><p><i>This is not your average Claims role.
</i></p><p>When you think of a job handling insurance claims, you may think about storm damage or auto accidents. Or maybe a large stack of paper?
</p><p>A career in Employment Practices Liability exposes you to emerging issues in the workplace that have been and remain at the center of national and global media. Issues such as the Me Too movement, Racial Injustice and Covid.
</p><p>In this paperless environment, you will use your analytical skills to resolve workplace claims.
</p><p>We will teach you more about Employment Law, contracts and claims. You will use your influence skills and knowledge to partner with defense counsel and our insureds in resolving discrimination, harassment and other workplace related claims. This role handles both Administrative Charges and Litigated files.
</p><p>The work is interesting. The environment is collaborative.
</p><p>Our Claims Professionals in Employment Practices Liability enjoy the work they do and working with their peers that come from a variety of backgrounds (including Law Enforcement, Human Resources, other disciplines in Claims and Legal, to name a few) and bring different perspectives into the team.
</p><p><b>Responsibilities after training include:
</b></p><ul><li>Contribute to a collaborative environment by raising new ideas, demonstrating teamwork, high motivation, positive behavior and effort to achieve goals and objectives
</li><li>Complete accurate and timely coverage, liability and damage investigations and evaluations on complex Employment Practices Liability insurance policies
</li><li>Establish, document and execute appropriate strategies to bring early and cost-effective resolution to assigned claims
</li><li>Represent the company at meetings with management and business partners, as well as virtually or in person at mediations.
</li><li>Effectively utilize technology systems and tools to track and manage caseload in most efficient and effective manner.
</li><li>Build and maintain productive relationships with internal and external customers, including clients, underwriters and agents
</li><li>Consistently demonstrate sound claim handling practices by achieving compliance in areas including investigation, coverage, loss assessment, and case management
</li><li>Provide coaching and guidance to new claim examiners</li></ul></div>
<br><div><ul><li>BA/BS College Degree Preferred. JD is helpful, but not required
</li><li>3 to 5 years experience in EPL or handling claims of a comparable complexity or working in a legal position
</li><li>Excellent verbal and written communication skills
</li><li>A personal commitment to superior performance that adds value to our company
</li><li>Strong interpersonal skills with the ability to interact and build relationships with all levels of internal and external contacts
</li><li>An aptitude for evaluating, analyzing, and interpreting technical information
</li><li>Sound decision making skills
</li><li>Proven ability to work independently as well as part of a team
</li><li>Must demonstrate a high level of initiative and leadership skills
</li><li>Excellent time management, problem solving, and organizational skills are required
</li><li>An ability to adapt to new ideas and situations
</li><li>A willingness to use creative thinking to overcome obstacles and an ability to develop creative approaches to solving customer problems
</li>Internal candidates must have coverage authority for charges and demands<br>
<li>
<br>
</li></ul><p><b>Additional Requirements:
</b><br>
<br>
Licensing: You must obtain and maintain required adjuster licenses within 90 days of hire.
</p><p>Training: Chubb managers, claim examiners and defense counsel provide a combination of classroom and on-the-job training to ensure our Claim Examiners are prepared to assume full claim handling responsibilities. The training will involve a wide range of knowledge and skill development, including:
</p><ul><li>Cultivating relationships with internal clients (e.g. underwriters)
</li><li>Developing the ability to analyze initial claim reports
</li><li>Developing an understanding of the legal system
</li><li>Understanding how to effectively investigate and document findings
</li><li>Understanding Chubb&rsquo;s products to appropriately determine coverage
</li><li>Learning to interpret and apply insurance contracts
</li><li>Learning how to negotiate settlements</li></ul></div>
<br><div><div>Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.<br>
</div><div></div><br>
<div>At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.</div></div>

Senior Claim Examiner

<div><p>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.</p><ul>
<li>Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.</li>
<li>Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel.</li>
<li>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.</li>
<li>Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits.</li>
<li>Develops subrogation and third party recovery potential and follows reclaim procedures.</li>
<li>Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews.</li>
</ul><ul><li>Bachelor's degree or equivalent experience required.</li>
<li>Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization.</li>
<li>Ability to work independently while assimilating various technical subjects..</li>
<li>Strong written and oral communication, negotiation and presentation skills.</li>
<li>Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects.</li>
<li>Effective advanced interpersonal skills to effectively interact with all levels of internal and external clients.</li>
<li>Industry Designations: Preferred: IIA, AIC, AEI, and/or CPCU.</li>
<li>License Requirements: Per State or Jurisdictional requirements.</li>
</ul>Why Crawford?
<br>
<br>
Because a claim is more than a number &mdash; it&rsquo;s a person, a child, a friend. It&rsquo;s anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community &ndash; one claim at a time.
<br>
<br>
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&rsquo;re looking for the next generation of leaders to take this journey with us.
<br>
<br>
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 www.crawco.com.
<br>
<br>
When you accept a job with Crawford, you become a part of the One Crawford family.
<br>
<br>
Our total compensation plans provide each of our employees with far more than just a great salary
<br>
<ul><li>Pay and incentive plans that recognize performance excellence</li>
<li>Benefit programs that empower financial, physical, and mental wellness</li>
<li>Training programs that promote continuous learning and career progression while enhancing job performance</li>
<li>Sustainability programs that give back to the communities in which we live and work</li>
<li>A culture of respect, collaboration, entrepreneurial spirit and inclusion</li>
</ul><i>Crawford &amp; Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford &amp; 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.</i></div>

AmTrust Financial

<div>Overview:
<div>
The Lead Claims Examiner is responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds, claimants and medical providers. Maintains a solid understanding of AmTrust&rsquo;s mission, vision, and values. Upholds the standards of AmTrust and the Claims organization.</div>
Responsibilities:
<ul><li>Follows AmTrust policies and procedures in managing claims.</li><li>
Investigates the claim and coverage by making timely and appropriate contact with involved or interested parties including but not limited to the insured, claimant, witnesses and medical providers.</li><li>
Evaluates, establishes, maintains and adjusts reserves based on fact, company standard and experience.</li><li>
Skillfully negotiates claims, turning adverse perspectives into quick resolution. Gains trust of other parties to negotiations and demonstrates good sense of timing. Approaches discussions from merits or strengths of case.</li><li>
Leverages strong critical thinking and decision-making skills to gather, assess, analyze, question, verify, interpret and understand key or root issues.</li><li>
Establishes effective relationships with internal or assigned counsel for customized defense plan. Applies company principles and standards including planning, organizing and monitoring legal panel services and cost in partnership with internal legal counsel.</li><li>
Communicates with internal managed care and medical resources to ensure coordination with medical providers, injured workers and employers in developing return to work strategies and treatment plans.</li><li>
Obtain medical records (past and present), police, ambulance and other agency reports as required.</li><li>
Provides insights and input when reviewing claims of others. May be sought out by others for advice.</li><li>
Writes in a clear, succinct and fact-based manner in claims files as well as in other communication.</li><li>
Manages mail and diary entries effectively and efficiently.</li><li>
Provides exceptional customer service.</li><li>
Performs other functional duties as requested or required.</li></ul>
Qualifications:
<div><b>
Required:</b></div><ul><li>
3+ years experience as a Workers Comp adjuster</li><li>
MS Office experience (Work, Excel, Outlook)</li><li>
Effective negotiation skills</li><li>
Strong verbal and written communication skills</li><li>
Ability to prioritize work load to meet deadlines</li><li>
Ability to manage multiple tasks in a fast-paced environment</li></ul><div></div><div><i><br>
This job description is designed to provide a general overview of the requirements of the job and does not entail a comprehensive listing of all activities, duties, or responsibilities that will be required in this position. AmTrust has the right to revise this job description at any time.</i></div><div></div><div><i><br>
The expected salary range for this role is $32-$44/hr.</i></div><div></div><div><i><br>
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations</i></div>
What We Offer:
<div>
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical &amp; Dental Plans, Life Insurance, including eligible spouses &amp; children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.</div><div></div><div><br>
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.</div><div></div><div><br>
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.</div></div>

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