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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:
Under general direction, supervises the investigation, management, & timely disposition of claims within account, carrier and/or company guidelines, & assists the Service Center Manager in managing the branch claim office.
Responsibilities: - Makes every reasonable effort to select, train & develop qualified minorities & women in support of the Company's Affirmative Action Program.
- Establishes & communicates performance standards & objectives, conducts performance appraisals.
- Recommends/approves salary adjustments, promotions, transfers & dismissals.
- Monitors operations & staff & recommends, when necessary, changes in methods, procedures, structure, & additions or changes in personnel to secure optimum utilization of resources.
- Counsels team members on educational & job opportunities which will enhance their career development, & keeps staff informed of current problems, changes, & new developments in the department & company by conducting periodic meetings.
- Administers all company human resources policies & procedures, communicates to staff, interprets as necessary, & ensures compliance.
- Installs and/or monitors the approved Corporate Productivity and/or Work Management Program, reports on productivity trends, & recommends & implements changes on an ongoing basis to improve productivity.
- Reviews, analyzes, & assigns losses to the appropriate claim technician with directives.
- Reviews files on a periodic basis to determine accuracy & completeness &, if required, issues directives for further investigation, evaluation, negotiation, contributions from other parties, subrogation, arbitration and/or contact with legal channels.
- Monitors the accuracy, completeness, & the appropriateness of billings (e.g. legal, medical, appraisal) when reviewing claim files.
- Reviews reserve recommendations, establishes reserves & makes recommendations on reserves exceeding authority.
- Controls expenses to meet the Branch Claim budget, & keeps expenditures to a minimum.
- Provides the necessary guidance to unit personnel on investigations, appraisals of damages, liability, coverages, & settlement techniques.
- Extends settlement authority as warranted and/or investigates & settles difficult cases as required or requested to assure proper investigation & disposition of all cases.
- Assists in establishing Branch Claim office objectives supportive of Home Office Claim & corporate objectives.
- Provides assistance in the selection & evaluation of vendors (i.e., defense attorneys, medical examiners, independent adjusters, & auto appraisers).
- Reviews & assists in preparing suit cases for forwarding to legal counsel, checking to assure that coverages are not exceeded & legal reserves are adequate & confers with attorneys regarding these matters.
- Attends trials, settlement conferences, mediations, & arbitrations, as required.
- Assists in the preparation of account, carrier or broker reviews.
- Services TPA accounts as required.
- Operates, inputs & retrieves information using the Focus System & Claim Workstation. Requests checks, form letters & other correspondence through the Focus System & Claim Workstation.
- Organizes workflows of the Focus System & Claim Workstation to provide maximum productivity.
- May assist in the training of staff in the operation & uses of the automated Focus System & Claim Workstation.
Education:
- Education equivalent to graduation from college or the equivalent in related work experience.
- Attainment of the Associate in Claims designation, & successful completion of, or active study for, I.I.A. MGT 41, MGT 42, SM18 & SM19, or the equivalent in related studies or work experience.
Experience:
- Five (5) or more years of progressive experience as a Claim Technician, or the equivalent, demonstrating the technical expertise to handle the most complex cases with a high degree of judgment & discretion.
Knowledge and Skills:
- Demonstrates effective & diplomatic oral & written communication skills.
In addition to a competitive salary, Crawford offers you:
- 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 health, dental, and life insurance; employee stock purchase plans; tuition reimbursement and so much more.
Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V
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