Sr Claim Examiner-WC (CA)

About the position We’re Hiring: Senior Claims Examiner – Workers Compensation (California) This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise. Why You’ll Love It Here: Offers Work From Home Position Salary: $52,309.37 – $95,657.13 Annually Excellent Crawford Benefits Supporting Financial, Physical & Mental Wellness Great Bonus Opportunity Generous Employee Referral Bonus Program ️ Access to Multiple Employee Discounts We’re looking for a Senior Claims Examiner – Workers Compensation (California) with a passion for claims management to join our team! SIP certification is required Proven experience handling California Workers Compensation claims Strong background in managing advanced, large-loss, and complex cases Role Overview: Investigate and settle advanced, large-loss, and complex claims promptly and equitably with minimal supervision. Work within established authority on moderate-to-difficult claims, reviewing coverages, determining liability/compensability, collecting statements and essential information, and settling claims using best practices. ⚖️ Evaluate and set reserves using independent judgment, support litigation preparation with supervisors and defense attorneys, and contribute to team development through training and mentorship. 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 required. • 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 internal and external clients. • Workers Compensation (WC) Adjuster License required according to jurisdictional requirements • SIP certification is required • Proven experience handling California Workers Compensation claims • Strong background in managing advanced, large-loss, and complex cases Nice-to-haves • Preferred: IIA, AIC, AEI, and/or CPCU. Benefits • Offers Work From Home Position • Salary: $52,309.37 – $95,657.13 Annually • Excellent Crawford Benefits Supporting Financial, Physical & Mental Wellness • Great Bonus Opportunity • Generous Employee Referral Bonus Program • Access to Multiple Employee Discounts Apply tot his job Apply To this Job