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Sr Claim Examiner-WC (CA)

Crawco · crawco.com
FolsomRemoteSenior4–8 yrs
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The job in short

Workers compensation claim examination.

Legal

Details

Found
34 d ago · posted 2026-06-30
Location
Folsom, CA

Full description

📣 We’re Hiring: Senior Claims Examiner - Workers Compensation (California) 🌍 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? 💻 Great Work From Home Opportunity 💼 Excellent Crawford Benefits that Empower Financial, Physical, and Mental Wellness 🎯 Great Bonus Opportunity 💰 Generous Employee Referral Bonus Program 🛍️ Access to Multiple Employee Discounts We’re looking for a Senior Claims Examiner - Workers Compensation (California) with a passion for claims management to join our team! ✅ SIP Certification is required ✅ Proven experience handling California Workers Compensation claims ✅ Strong background in managing advanced, large-loss, and complex cases 🔍 Role Overview: ✅ Investigate, evaluate, and resolve advanced, large-loss, and complex workers compensation claims with a high degree of autonomy. ✅ Analyze compensability, determine liability, manage reserves, and negotiate claim settlements. ✅ Partner with defense counsel on litigated matters and support team development by conducting training and mentoring new hires. • 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 the discovery and litigation strategy with legal counsel. • Analyzes claims activity and prepares reports for clients/carriers and management. • 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. • 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. • Bachelor's degree or equivalent experience required. • 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 effectively interact with all levels of internal and external clients. • Industry Designations: Preferred: IIA, AIC, AEI, and/or CPCU. • License Requirements:Per State or Jurisdictional requirements. • Workers Compensation (WC) Adjuster License required according to jurisdictional requirements #LI-EM3

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