Claims Specialist- Liab

We're Hiring: Claims Specialist - Liability

This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise.

✅ Why Join Crawford & Company?
Excellent Crawford Benefits that Empower Financial, Physical, and Mental Wellness
Generous Employee Referral Bonus Program
️ Access to Multiple Employee Discounts

Role Overview:
✅ Administers and resolves non-complex, short-term claims with low monetary amounts, including Fast Track and Incident Only claims
✅ Documents and monitors open case inventory to ensure proper and timely closure and billing of files
✅ Makes decisions on claims within delegated and limited authority


* College degree or the equivalent education and experience.


* Knowledge of claims and familiarity with claims terminology gained through industry experience and/or through specialized courses of study (Associate in Claim designation, etc).


* Demonstrates a thorough working knowledge of claim processing and claim policies and procedures.


* Demonstrates an understanding of basic medical terminology and appropriate medical tests for claimed conditions


* Demonstrates effective and diplomatic oral and written communication skills.


* Demonstrates a customer-focused approach including the ability to identify and understand customer needs, and interacts effectively with others.


* Must have or secure and maintain the appropriate license(s) as required by the state(s) at the adjuster/supervisory/management level.

Must possess a valid driver's license.

Must complete continuing education requirements as outlined by Crawford Educational Services.

Additional courses may be required by jurisdiction for maintenance of license.

#LI-EM3


* Conducts investigations of claims to confirm coverage and to determine liability, compensability, and damages.

Works closely with claimants, witnesses and members of the medical profession and other persons pertinent to the investigation and processing of claims.


* Verifies policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves within designed authority, as necessary, during the processing of the claim.


* Identifies applicable wage loss expenses and wage exposures.


* Documents receipt and contents of claim documents including medical reports, police reports etc.

Interacts frequently with claimant to understand nature and extent of injury and medical conditions.

Reviews and handles other correspondence within authority including material from the team members, and/or clients.


* Approves payments within scope of payment authority


* Evaluate claims for potential fraud issues, loss control and recovery in accordance with insurance policy contracts, medical bill coding rules and state regulations.


* Keep Team Manager informed verbally and in writing of activities and problems within assigne...