Under the direction of Risk Technical Services National Manager/Team Manager provides quality claims supervisory services and statistical data controls to the client or risk over field branch offices. Responsibilities include claim supervision of field adjusters, reserve controls, data corrections, data reviews to ensure accuracy, claim file reviews and audits, litigation management and rehabilitation evaluation, claim authorization of claim payments. Assist the Risk Technical Service (RTC) National Manager/Team Manager in maintenance of assigned accounts serving as corporate claim liason between branch office and client. Participate in the development of new accounts.

• Review reportable claim files to ensure proper investigation.
• Review non-reportable file statistics via claim status sheets or other audit methods for proper data entry and collection.
• Evaluate claims from a legal, medical, and financial standpoint.
• Management of litigation by direction and supervision of work on claim files by defense counsel.
• Provide first-line supervision in support of same at branch level.
• Enforce reporting by field offices on claims reserved above authority levels in compliance with service standards and client requirements.
• Evaluate and authorize claims payments on reportable files.
• Troubleshoot coding errors.
• Review reporting level assignments within a reasonable time period.
• Review own diary in accordance with RTC service standards.
• Outline needed investigation on assignments; coordinate with client and RTC Manager/ Team Manager investigation procedures to be used by branches.
• Interpret and evaluate investigative material provided by branch, defense counsel, medical and technical services.
• Monitor and validate client data, selected claim listings, reserve exception reports, and client loss runs.
• Approve outgoing mail.
• Construct and maintain reference material.
• Assist in field branch office inspections.
• Assist Regional Directors and National Account Executives in transmitting and implementing client changes to programs.
• Retrieve files for audit purposes.
• Resolve coverage questions with clients.
• Carry out plans, programs and overall controls within the contract to client satisfaction.
• Coordinate and consult with client on claim activity; review with client reserves on reportable cases.
• Handle client complaints quickly and efficiently.
• Present adverse circumstances on a claim to client in an acceptable manner.
• Attend industry functions and uphold and project the professional image of the company to the industry.
• Comply with regulatory and licensing laws.
• Attend conferences and seminars and continue educational pursuits as part of self development.
• Uphold the Statement of Principles as adopted by the National Conference of Lawyers, Insurance companies and Adjusters, the Unfair Claim Practices Act of the NAIC and additional ethical standards of Crawford and Company.
• Be available upon request of Manager, Team Manager, Regionals, or clients to accept additional responsibilities when necessary

• Education equivalent to a college degree or the equivalent in related work experience.
• Five years previous experience as an adjuster or claim supervisor in various coverage
• Minimum of four years vocational preparation
• Demonstrated ability to supervise the work of others.
• Demonstrates effective and diplomatic oral and written communication skills, and promotes a favorable company image to the public.

Think all TPAs are the same? Think again. With Broadspire, our leading global third-party administrator (TPA), Crawford & Company is the consultative outsourcing partner that adapts to businesses needs and challenges at any point of the claims processing journey. We offer casualty claim and medical management services to assist large organizations in achieving their unique goals, increasing employee productivity and reducing the cost of risk through professional expertise, technology and data analytics.

As part of the One Crawford family, Broadspire brings together the best and brightest people in the industry to deliver smart, thoughtful solutions to our clients, and we are guided by our collective value system: RESTORE.

At Crawford, we:

• Respect our culture of integrity and ethical behavior, while embracing the unique talents of the individual and encouraging an ownership mentality among everyone.
• Are Empowered to advance the company mission and take ownership of our individual career progression.
• Promote Sustainability through a corporate culture in which employees are good stewards of their communities.
• Emphasize Training and an environment where employees continually seek and share knowledge and are engaged and satisfied with their work.
• Are One Crawford, embracing a global mindset thats inclusive, agile, mission-focused, and customer-focused.
• Give Recognition, participating in an environment where people are rewarded for jobs well done.
• Embody an Entrepreneurial Spirit, sharing a passion to succeed, innovate, and outpace our competitors.

We believe in leading by example at work and in our communities. 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 mission, vision and values. Learn more at www.crawfordandcompany.com.

In addition to a competitive salary, Crawford offers you:

• Career advancement potential locally, nationally and internationally. Crawford & Company has more than 700 locations in 70 countries
• On-going training opportunities through every stage of your career
• Strong benefits package including matching 401k; 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 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.