Temporary Liability Claims Adjuster I
Crawford & Company
Claims Specialist – Liability
This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise.
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
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.
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.
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 assigned area of responsibility; Participates in claim reviews as applicable.
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 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. Because a claim is more than a number - it's a person, a child, a friend. And by helping to restore their lives, we are helping to restore our community - one claim at a time.
Our industry-leading team pioneers new solutions for the industries and customers we serve. We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. And as part of the One Crawford family, we offer a comprehensive Total Rewards package to our employees to assist with their financial, health/wellness, continuing education/training and other needs:
~ The Pay Range/Salary represents the anticipated low and high pay that may be offered for this position. Bonus/Incentive Pay and other Performance-Based Rewards, if applicable.
We offer a well-rounded benefits package that encourages wellness and helps our employees to be an educated healthcare consumer. 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 Other Benefits currently available at no cost include: - Enhanced Mental Health Support - Virtual Physical Therapy - Caregiving Services - Life Assistance Program *The above information highlights some of the benefits currently available to eligible full-time employees.
Training programs that promote continuous 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.
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