Claims Examiner jobs in Georgia

Claims Examiner reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Additionally, Claims Examiner determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Claims Examiner typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)

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Senior Claims Examiner - Liability
  • Crawford & Company
  • Atlanta, GA OTHER
  • Excellence In Everything We Touch

    Position Summary

     

    Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established authority on moderate-to-difficult claims. Reviews coverages, determines liability and compensability, secures information, arranges property damage appraisals and settles claims utilizing claims best practices. Evaluates and sets reserves using independent judgment. Assists supervisor and defense attorneys in preparing cases for litigations. Conducts training and mentors new hires.

     

    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 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.

    Requirements

    • Bachelor's degree or equivalent experience.
    • 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 interna and external clients.

    Preferred:

    • IIA, AIC, AEI, and/or CPCU.

    About Us

    Why Crawford?

     

    Because a claim is more than a number — it’s a person, a child, a friend. It’s anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community – one claim at a time.

     

    At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We’re looking for the next generation of leaders to take this journey with us.

     

    We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com.

     

    When you accept a job with Crawford, you become a part of the One Crawford family. 

     

    • Our total compensation plans provide each of our employees with far more than just a great salary
    • Pay and incentive plans that recognize performance excellence
    • Benefit programs that empower financial, physical, and mental wellness
    • 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

     

    Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.

     

     

     

     

    #LI-EM3

  • 26 Days Ago

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Claims Examiner (Medical Only)
  • Chubb External
  • Alpharetta, GA FULL_TIME
  • Chubb is currently seeking a Workers’ Compensation Medical Only Claim Examiner for our Southeast Region. This position will report to and reside in our Alpharetta, Georgia office. Handles all aspects ...
  • 1 Month Ago

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Part Time Medical Claims Examiner
  • Insurance Administrative Solutions
  • Rome, GA PART_TIME
  • ABOUT INSURANCE ADMINISTRATIVE SOLUTIONSInsurance Administrative Solutions (IAS) is a third-party provider of comprehensive administrative solutions for our clients in the insurance industry. We offer...
  • Just Posted

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Part Time Medical Claims Examiner
  • Insurance Administrative Solutions, LLC
  • Armuchee, GA PART_TIME
  • Integrity is one of the nation’s leading independent distributors of life, health and wealth insurance products. With a strong insurtech focus, we embrace a broad and innovative approach to serving ag...
  • 8 Days Ago

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Commercial Auto Liability Claims Examiner
  • Canon Recruiting Group
  • Duluth, GA FULL_TIME
  • POSITION: Commercial Auto Liability Claims ExaminerFULLTIMELOCATION: Fully Remote SCHEDULE: Monday-Friday PAY RANGE: $63-74K/yr. (Exact compensation may vary based on skills, experience, and location....
  • 1 Month Ago

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Commercial Auto & General Liability Claims Examiner III
  • Tristar Insurance
  • Atlanta, GA OTHER
  • Job Details Level: Experienced Job Location: Atlanta Office - Atlanta, GA Position Type: Full Time Education Level: High School Diploma or GED Salary Range: $75,000.00 - $98,000.00 Salary Travel Perce...
  • 19 Days Ago

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Claims Examiner
  • JCW
  • JCW is currently recruiting on behalf of a rapidly growing Property & Casualty Insurance Company who are looking to add ...
  • 4/23/2024 12:00:00 AM

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Claim Examiner
  • Kansas City Life Insurance Company
  • Kansas City, MO
  • QUALIFICATIONS/REQUIREMENTS: Bachelor of Arts or Sciences degree in business field, related field, or equivalent work ex...
  • 4/22/2024 12:00:00 AM

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Claims Examiner
  • The Jonus Group
  • Chicago, IL
  • We are seeking a Senior Claims Examiner to join our team. The Senior Claims Examiner will play a pivotal role in managin...
  • 4/22/2024 12:00:00 AM

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Claims Examiner
  • The Jonus Group
  • New York, NY
  • We are seeking a Senior Claims Examiner to join our team. The Senior Claims Examiner will play a pivotal role in managin...
  • 4/22/2024 12:00:00 AM

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Claims Examiner
  • The Jonus Group
  • Phoenix, AZ
  • We are seeking a Senior Claims Examiner to join our team. The Senior Claims Examiner will play a pivotal role in managin...
  • 4/22/2024 12:00:00 AM

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Claims Examiner
  • D3 Search
  • Los Angeles, CA
  • D3 Search is actively seeking the following Claims Examiner II - Cyber candidate for a highly respected global insurer w...
  • 4/22/2024 12:00:00 AM

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Claims Examiner
  • The Jonus Group
  • White Plains, NY
  • We are seeking a Senior Claims Examiner to join our team. The Senior Claims Examiner will play a pivotal role in managin...
  • 4/22/2024 12:00:00 AM

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Claim Examiner
  • Kansas City Life Insurance Company
  • Kansas City, MO
  • QUALIFICATIONS/REQUIREMENTS: Bachelor of Arts or Sciences degree in business field, related field, or equivalent work ex...
  • 4/21/2024 12:00:00 AM

Georgia is a state in the Southeastern United States.Beginning from the Atlantic Ocean, the state's eastern border with South Carolina runs up the Savannah River, northwest to its origin at the confluence of the Tugaloo and Seneca Rivers. It then continues up the Tugaloo (originally Tugalo) and into the Chattooga River, its most significant tributary. These bounds were decided in the 1797 Treaty of Beaufort, and tested in the U.S. Supreme Court in the two Georgia v. South Carolina cases in 1923 and 1989. The border then takes a sharp turn around the tip of Rabun County, at latitude 35°N, thou...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Claims Examiner jobs
$46,284 to $61,374