Claims Examiner I-Workers' Comp

Hauppauge, NY

Crawford & Company

Based in Atlanta, Georgia, Crawford & Company (www.crawfordandcompany.com) is the world's largest independent provider of claims management solutions to the risk management and insurance industry as well as self-insured entities, with a global network of more than 700 locations in 63 countries. The Crawford System of Claims SolutionsSM offers comprehensive, integrated claims services, business process outsourcing and consulting services for major product lines including property and casualty claims management, workers' compensation claims and medical management, and legal settlement administration. The Company's shares are traded on the NYSE under the symbols CRDA and CRDB.

Summary of Role:

Entry-level classification where incumbents manage and resolve non-complex claims, usually those of low monetary amounts and short duration under direct supervision of the Claims Supervisor. Makes decisions on claims within delegated limited authority.


Responsibilities:

• Receives claim assignment, confirms policy coverages and directs acknowledgement of claims. 
• Investigates claim to determine validity and verify extent of damage by telephone contact with clients, claimants, witnesses or other parties required.
• Establish reserves and authorize payment within reserving authority limits. 
• Participates in and determines the settlement of claims within delegated limited authority, or secures authority from supervisor.
• Completes all reporting forms and file documentation.
• Develops subrogation and third party recovery potential and follows reclaim procedures.
• Adheres to client and carrier guidelines and prepares written updates for supervisor to review. Participates in claim reviews.

• Bachelor's degree highly preferred.

• Ability to learn rapidly and develop knowledge and understanding of claims practices.
• Good verbal and written communication skills.
• Strong ability to identify, analyze and solve problems.
• Effective interpersonal skills to be capable of dealing with external sources and all levels of team members.

• Working knowledge of claims and familiarity with claims terminology gained through equivalent industry experience and/or through specialized courses of study (Associates in Claim designation). Workers Compensation (WC)

• Career advancement potential locally, nationally and internationally. Crawford & Company has more than 700 location in 63 countries 
• On-going training opportunities through every stage of your career 
• Strong benefits package including 401k; health, dental, and life insurance; employee stock purchase plans; tuition reimbursement and so much more.