Claims Examiner, Sr. jobs in Louisiana

Claims Examiner, Sr. reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner, Sr. 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, Sr. determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner, Sr. occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Claims Examiner, Sr. typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)

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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

  • 15 Days Ago

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Sr Claim 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 m...
  • 28 Days Ago

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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...
  • 15 Days Ago

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Examiner
  • Federal Housing Finance Agency (FHFA)
  • Orleans, LA FULL_TIME
  • Summary Scroll down for a complete overview of what this job will require Are you the right candidate for this opportunity We have openings for entry-level examiners in the Division of Federal Home Lo...
  • 21 Days Ago

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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...
  • 8 Days Ago

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AE - Sr Brand Ambassador (Sr Sales Associate) - US
  • Sr Brand Ambassador (Sr Sales Associate) - US - American Eagle Outfitters Careers
  • United States, LA FULL_TIME
  • BE PART OF SOMETHING REAL YOUR ROLE As a part-time Sr Brand Ambassador, you bring our brand to life every day! Your goal is to provide everyone who comes in the store with an amazing shopping experien...
  • 15 Days Ago

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Claims Investigator (Buffalo, NY Region)
  • Gallagher Bassett
  • Buffalo, NY
  • Gallagher Bassett is the premier provider of global claims, loss control, and risk management consulting services, dedic...
  • 3/28/2024 12:00:00 AM

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Claims Investigator (Syracuse, NY Region)
  • Gallagher Bassett
  • Syracuse, NY
  • Gallagher Bassett is the premier provider of global claims, loss control, and risk management consulting services, dedic...
  • 3/28/2024 12:00:00 AM

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Claims Investigation Analyst I, Geisinger Health Plan (work from home Pennsylvania)
  • Geisinger Health
  • Danville, PA
  • Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: R...
  • 3/28/2024 12:00:00 AM

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Claims Investigator
  • Claims Management Inc
  • Puyallup, WA
  • Job Description Job Description CMI exists to improve the world by championing the injured. We are a rapidly growing fir...
  • 3/25/2024 12:00:00 AM

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Claims Examiner
  • Ascendo Resources
  • Jacksonville, FL
  • Are you seeking a new Claims Examiner opportunity with a growing company? The Claims Examiner plays a critical role in t...
  • 3/24/2024 12:00:00 AM

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Claims Examiner
  • Proctor Loan Protector
  • Troy, MI
  • Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best...
  • 3/24/2024 12:00:00 AM

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Senior California Workers' Compensation Claims Examiner | Remote
  • KING'S INSURANCE STAFFING LLC
  • Los Angeles, CA
  • Our client, an A Rated Insurance Carrier, is seeking to add a Remote - Senior California Workers' Compensation Claims Ex...
  • 3/24/2024 12:00:00 AM

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Claims Investigator
  • Allied Universal® Compliance and Investigations
  • Brooklyn, NY
  • Overview Allied Universal® Compliance and Investigations, North America's leading expert insurance claim investigations,...
  • 3/15/2024 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, Sr. jobs
$59,059 to $76,142

Claims Examiner, Sr. in Sarasota, FL
After reading this, you will have a much better idea on whether you will like working as a Property and Casualty Insurance Claims Examiner or not.
January 17, 2020
Claims Examiner, Sr. in Fairbanks, AK
Still, a good number of students health claims specialist resume have to contend with language skill barriers.
February 05, 2020
Claims Examiner, Sr. in Idaho Falls, ID
Kevin Pitts joined CIRSA a little over a year ago as a Workers’ Compensation Claims Examiner.
December 18, 2019