Claims Examiner jobs in Louisiana

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)

C
Senior Claims Examiner - Liability
  • Crawford & Company
  • Orleans, LA 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

  • 1 Day Ago

C
Senior Claims Examiner - Workers Compensation
  • Crawford & Company
  • Orleans, LA 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 m...
  • 1 Month Ago

T
Property Litigation Supervisor
  • TheBest Claims Solutions
  • Orleans, LA FULL_TIME
  • Our client is looking for a Property Litigation Supervisor to work in their New Orleans office. This candidate will need to have experience with litigated property claims in the state of Louisiana. #I...
  • 2 Days Ago

P
Weld Test Lab Examiner
  • Performance Contractors
  • Baton Rouge, LA FULL_TIME
  • Weld Test Lab Examiner Performance Contractors is currently seeking a full-time Weld Test Lab Examiner for their Baton Rouge location. This role revolves around impartially evaluating the practical we...
  • 2 Days Ago

N
Credit Union Examiner
  • National Credit Union Administration
  • Orleans, LA FULL_TIME
  • Job DescriptionCredit Union Examiners plan, conduct, and complete examinations of federally insured and federally chartered credit unions. This includes analyzing credit union data to identify areas o...
  • 2 Days Ago

S
Compliance Examiner 1-4
  • State of Louisiana
  • Statewide, LA OTHER
  • This job posting will be used by Office of Finance Institutions to fill vacancies in district offices located in Baton Rouge, New Orleans, Lafayette, Alexandria, Shreveport, and Monroe.No Civil Servic...
  • 2 Days Ago

P
Claim Examiner
  • Pyramid Consulting, Inc
  • Garden City, NY
  • Immediate need for a talented Claim Examiner. This is a 6+ Months contract opportunity with long-term potential and is l...
  • 4/18/2024 12:00:00 AM

K
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...
  • 4/17/2024 12:00:00 AM

T
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...
  • 4/17/2024 12:00:00 AM

T
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...
  • 4/17/2024 12:00:00 AM

T
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...
  • 4/17/2024 12:00:00 AM

D
Claims Examiner
  • D3 Search
  • Los Angeles, CA
  • D3 Search is actively seeking the following Claims Examiner II - Cyber candidate for a global insurer with a growing off...
  • 4/17/2024 12:00:00 AM

T
Claims Examiner
  • The Jonus Group
  • Atlanta, GA
  • We are seeking a Senior Claims Examiner to join our team. The Senior Claims Examiner will play a pivotal role in managin...
  • 4/17/2024 12:00:00 AM

A
Claims Examiner
  • APR Consulting
  • Whittier, CA
  • APR Consulting, Inc. has been engaged to identify a Claims Examiner Location: Whittier, CA 90601 Position: Claims Examin...
  • 4/17/2024 12:00:00 AM

Louisiana is bordered to the west by Texas; to the north by Arkansas; to the east by Mississippi; and to the south by the Gulf of Mexico. The state may properly be divided into two parts, the uplands of the north, and the alluvial along the coast. The alluvial region includes low swamp lands, coastal marshlands and beaches, and barrier islands that cover about 20,000 square miles (52,000 km2). This area lies principally along the Gulf of Mexico and the Mississippi River, which traverses the state from north to south for a distance of about 600 mi (970 km)) and empties into the Gulf of Mexico; ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner jobs
$45,518 to $60,359