Sr Claim Examiner- WC

USA Workers Compensation Adjusters Posting Date 06/30/2026, 07:23 PM Job Schedule Full time Job Description Senior Claims Examiner – Workers Compensation We’re looking for a Senior Claims Examiner – Workers Compensation with a passion for claims management. Licensing required. Proven experience handling multi‑jurisdictional claims. Strong background in managing advanced, large‑loss, and complex cases. Role Overview Investigate and settle advanced, large‑loss, and complex claims promptly and equitably with minimal supervision. Work within 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 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 discovery and litigation strategy with legal counsel. Analyzes claims activity and prepares reports for clients/carriers and management. Establishes reserves and authorizes payments within scope of authority, settling claims cost effectively 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. Qualifications Bachelor’s degree or equivalent experience required. Industry designations preferred but not required (IIA, AIC, AEI and/or CPCU). 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 interact with all levels of internal and external clients. Workers Compensation (WC) Adjuster License required according to jurisdictional requirements. Benefits Competitive base pay. Bonus/Incentive Pay and other performance‑based rewards, if applicable. Medical, Dental and Vision Plans. Prescription Drugs. HSA, HRA, and FSA Accounts. Paid Holidays, Vacation and Sick Leave. 401(k) Retirement Plan. Tuition Assistance. Paid Parental Leave. Supplemental Health Benefits. Training programs that promote continuous learning and career progression. Sustainability programs that give back to the communities in which we live and work. A culture of respect, collaboration, entrepreneurial spirit and inclusion. Other Benefits currently available at no cost include: Enhanced Mental Health Support. Virtual Physical Therapy. Caregiving Services. Life Assistance Program. Equal Opportunity Statement Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V. #J-18808-Ljbffr