Claim Specialist- Early Career Opportunity

Crawford & Company
Fairfax, VA
Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims. Documents and monitors open case inventory and ensures proper and timely closing of files. Makes decisions on claims within delegated limited authority.
Responsibilities * Conducts investigations of claims to confirm coverage and to determine liability, compensability, and damages. Works closely with claimants, witnesses and members of the medical profession and other persons pertinent to the investigation and processing of claims. * Verifies policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim. * Identifies wage loss expenses and wage exposures on medical claims. * Documents receipt and contents of medical reports. Interacts frequently with claimant to understand nature and extent of injury and medical conditions. Reviews and handles other correspondence within authority including material from the team members, and/or clients. * Approves payments of medical bills on lost time disability claims within area of payment authority up to, but not exceeding, $2,500 after compensability has been determined. * Evaluates medical claims for potential fraud issues, loss control and recovery in accordance with insurance policy contracts, medical bill coding rules and state regulations. * Keeps Team Manager informed verbally and in writing of activities and problems within assigned area of responsibility; refers matters beyond limits of authority and expertise to Team Manager for direction. * With the team managers guidance, provides input on the completion of status reports, initiate's activity checks and/or widow's statement of dependency forms. * Completes all reporting forms and file documentation. * Adheres to client and carrier guidelines and prepares written updates for supervisor to review. * Performs other related duties as required or requested. Requirements * College degree or the equivalent of education and experience. * Knowledge of claims and familiarity with claims terminology gained through industry experience and/or through specialized courses of study (Associate in Claim designation, etc). * Must have or secure and maintain the appropriate license(s) as required by the state(s) at the adjuster/supervisory/management level. * Must possess a valid driver's license. * Demonstrates a thorough working knowledge of claim processing and claim policies and procedures. * Demonstrates an understanding of basic medical terminology and appropriate medical tests for claimed conditions * Demonstrates effective and diplomatic oral and written communication skills. * Demonstrates a customer-focused approach including the ability to identify and understand customer needs, and interacts effectively with others. About Us 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 that's 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.

Insurance Claims Specialist (Inside) - Property/Contents - Remote

Crawford & Company
Remote
The role of the Content Claims Specialists is a multi-faceted role, which focuses primarily in the following four keys areas of edjuster's content claims handling operations:

+ Acting/operating as a third party, intermediary between the Insurance Company's property adjusters, and their policyholders with respect to conducting valuations of policyholder's/claimant's total loss contents, which are most commonly caused by theft, water, fire and other perils.

+ Focusing on the accurate and timely processing of content claims, via the use of edjuster's claims handling professional-service methodology and its Web-based content claims processing and pricing platform/system - exclaim.

+ Operating from their appropriately set up and equipped home-based offices, edjuster's Content Claims Specialists are consistently (daily/weekly basis) assigned new claim files.

+ Operating from their home-based offices, edjuster's Content Claims Specialists are responsible for recording all daily claims handling activity, with respect to hours worked/time spent per task as well as fulfilling all of their required administrative job duties.
Responsibilities + As part of this role, responsibilities include, but are not limited to the following: + Conduct research and pricing of contents based on like, kind and quality valuation by working with various edjuster research methodology of completed claims inventories, schedule of loss forms and from contractor's lists. + Submit completed claims reports to Insurance adjusters, close files to meet edjuster's performance cycle times and productivity standards. + Perform content valuation according to Company performance/productivity standards. + Ensure consistent and quality turnaround of all claims in accordance with the Company's productivity and performance standards. + Report/record all time spent on each claim file on a consistent and daily basis. + Maintain claim related notes in the Company's Claims System/Web-application (exclaim), relating to incurred hours over productivity standards, as well as related to specific issues and other pertinent notes. + Ensure effective and professional communications with all key stakeholders in the claims process, including; edjuster claims representatives, adjusters, policyholders and industry contractors. + Consistently promote edjuster's brand, image and reputation in a professional and positive manner. Requirements + A Secondary School diploma. + Some prior background/experience in the property claims industry would be considered an asset. + Be able to provide an adequate workspace, free of noise. + Employee must provide their own high speed internet service (a portion will be reimbursed after the waiting period). + Company equipment will be provided. It is the employee's responsibility to care and maintain the equipment, as per policy. + Strong computer skills (MS Office/Outlook, etc.) + Ability to communicate effectively verbally and in writing in English + Strong communication skills + Demonstrated ability to adapt to change and new technology + Willingness to learn and continuously improve About Us People taking care of people. It's that simple. At Crawford & Company, we treat our clients' policyholders like our own, helping to restore and enhance lives, businesses and communities at all points of the claims management process. Combining a legacy of nearly 80 years of unmatched experience with global capabilities and industry-leading technology, Crawford is at the forefront of change, while also staying firmly rooted to our commitment to putting people first. We are guided by our collective value system: RESTORE. At Crawford, we: + Respectour culture of integrity and ethical behavior, while embracing the unique talents of the individual and encouraging an ownership mentality among everyone. + AreEmpoweredto advance the company mission and take ownership of our individual career progression. + PromoteSustainabilitythrough a corporate culture in which employees are good stewards of their communities. + EmphasizeTrainingand an environment where employees continually seek and share knowledge and are engaged and satisfied with their work. + AreOne Crawford, embracing a global mindset that's inclusive, agile, mission-focused, and customer-focused. + GiveRecognition, 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. #LI-Remote #LI-PB Posted Date2 weeks ago(11/24/2021 11:09 AM) Requisition ID 2021-16033 Job LocationsUS Position Type Regular Full-Time Category Claims Business Unit Crawford Claims Solutions

AWS Reliability Engineer - Remote

Crawford Company
Remote or Atlanta, GA
Under minimal supervision, is responsible for the designing, coding, testing, debugging and documenting of complex software systems programming applications.
Responsibilities * Makes complex modifications to existing software to fit specialized needs and configurations. Designs and develops complex programs to fit specialized needs and configurations. * Confers with systems analysts, engineers, programmers and others to design system, to obtain information on project limitations and capabilities, performance requirements and interfaces. * Maintains program libraries and technical documentation. * Assists in more complex planning, scheduling and implementation. * Consults with users concerning more complex maintenance of the software system. Consults with business analysts, project managers and other stake holders in the more complex development of new software. * Upholds the Crawford Code of Business Conduct at all times. * Participates in special projects and performs other duties of a more complex nature as requested and performs other duties as requested. * May confer and interact with IT counterparts with Crawford's Business Partners Requirements * Bachelor's degree in computer engineering or computer science or an equivalent combination of education and experience. * At least 3 years relevant experience in Site Reliability Engineer role, DevOps Engineer role, or similar roles. * AWS experience is a must. Certifications are a major plus. * Experience setting up and operating Continuous Integration (CI) pipelines in Azure DevOps. * Experience with Cloudformation and/or other 'infrastructure as code' tools * Extensive experience with containers such as Docker and Kubernetes * 2+ years experience with Elasticsearch Kibana * Experience operating, monitoring, and performing troubleshooting and maintenance tasks on a scalable and robust platforms About Us People taking care of people. It's that simple. At Crawford Company, we treat our clients' policyholders like our own, helping to restore and enhance lives, businesses and communities at all points of the claims management process. Combining a legacy of nearly 80 years of unmatched experience with global capabilities and industry-leading technology, Crawford is at the forefront of change, while also staying firmly rooted to our commitment to putting people first. 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 that's 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. #LI-SM1

Nurse - Sr Medical Case Manager (CA)

Crawford Company
Remote or San Bernardino, CA
This is a work from home position requiring local field case management travel to cover the San Bernardino, CA region!
Our candidate must be a Licensed RN and have Prior Workers Compensation experience! A national certification (ex: CCM) is preferred! Spanish speaking candidates are a plus! To provide quality case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Quality Improvement Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability and Disability. Based on federal, state, or local law, this position may require you to be fully vaccinated for COVID-19. If required, the hiring manager will discuss with you during your interview process. Responsibilities * May assist supervisor/manager in review of reports, staff development. * Reviews case records and reports, collects and analyzes data, evaluates client's medical and vocational status and defines needs and problems in order to provide proactive case management services. * Demonstrates ability to meet or surpass administrative requirements, including productivity, time management, quality assessment (QA) standards with a minimum of supervisory intervention. * Facilitates a timely return to work date by establishing a professional working relationship with the client, physician and employer. Coordinates return to work with patient, employer and physicians. * May recommend and facilitate completion of peer reviews and IME's by obtaining and delivering medical records and diagnostic films notifying patients. * Manages cases of various product lines of at least 3-4 areas of service (W/C, Health, STD, LTD, Auto, Liability, TPA, Catastrophic, Life Care Planning). Specifically, the case manager should be experienced in catastrophic cases plus 2-3 additional types listed above. * Renders opinions regarding case cost, treatment plan, outcome, and problem areas and makes recommendations to facilitate rehabilitation goals and RTW. * May review files for claims adjusters and supervisors. * May perform job site evaluations/summaries. Prepares monthly written evaluation reports denoting case activity, progress and recommendations in accordance with state regulations and company standards. * May obtain referrals from branch claims office or assist in fielding phone calls for management as needed. * Maintains contact and communicates with insurance adjusters to apprise them of case activity, case direction or receive authorization for services. Maintains contact with all parties involved on case, necessary for rehabilitation of the client. * May spend approximately 70% of work time traveling to homes, health care providers, job sites, and various offices as required to facilitate return to work and resolution of cases. * May meet with employers to review active files. * Reviews cases with supervisor monthly to evaluate file and obtain direction. * Upholds the Crawford Code of Business Conduct at all times. * Demonstrates excellent customer service, and respect for customers, co-workers, and management * Independently approaches problem resolution by appropriate use of research and resources. * May perform other related duties as assigned. Requirements * Bachelor's degree in a health-related field is required. * Three years of Workers' Compensation case management with ability to independently coordinate a diverse caseload ranging in moderate to high complexity. * Active RN home state licensure in good standing without restrictions with the State Board of Nursing. * Minimum of 1 nationally recognized Certification from the URAC list of approved certifications required. * Must be able to travel as required. * Individuals who conduct initial clinical review possess an active, professional license or certification: * To practice as a health professional in a state or territory of the U.S.; and * With a scope of practice that is relevant to the clinical area(s) addressed in the initial clinical review. * Must maintain a valid driver's license in state of residence. * Demonstrated ability to handle complex assignments and ability to work independently is required. * Effective oral and written communication skills are required. * Thorough understanding of jurisdictional WC statutes. * Advanced knowledge to exert positive influence in all areas of case management. * Advanced communications and interpersonal skills in order to conduct training, provide mentorship, and assist supervisor in general areas as assigned. * Highly skilled at promoting all managed care products and services internally and externally. About Us 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 that's 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. #LI-SM1

Nurse - Senior Medical Case Manager

Crawford Company
Remote or Seattle, WA
This is a work from home position requiring local field case management travel to cover the Seattle, WA region!
The candidate must be a Licensed RN and have a National Certification! Prior Workers Compensation/Case Management experience preferred! To provide quality case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Quality Improvement Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability and Disability. Based on federal, state, or local law, this position may require you to be fully vaccinated for COVID-19. If required, the hiring manager will discuss with you during your interview process. Responsibilities * May assist supervisor/manager in review of reports, staff development. * Reviews case records and reports, collects and analyzes data, evaluates client's medical and vocational status and defines needs and problems in order to provide proactive case management services. * Demonstrates ability to meet or surpass administrative requirements, including productivity, time management, quality assessment (QA) standards with a minimum of supervisory intervention. * Facilitates a timely return to work date by establishing a professional working relationship with the injured worker/disabled individual, physician and employer. Coordinates return to work with injured worker/disabled individual, employer and physicians. * May recommend and facilitate completion of peer reviews and IME's by obtaining and delivering medical records and diagnostic films notifying patients. * Manages cases of various product lines of at least 3-4 areas of service (W/C, Health, STD, LTD, Auto, Liability, TPA, Catastrophic, Life Care Planning). Specifically, the case manager should be experienced in catastrophic cases plus 2-3 additional types listed above. * Renders opinions regarding case cost, treatment plan, outcome, and problem areas and makes recommendations to facilitate rehabilitation case management goals to include RTW. * May review files for claims adjusters and supervisors. * May perform job site evaluations/summaries. Prepares monthly written evaluation reports denoting case activity, progress and recommendations in accordance with state regulations and company standards. * May obtain referrals from branch claims office or assist in fielding phone calls for management as needed. * Maintains contact and communicates with insurance adjusters to apprise them of case activity, case direction or receive authorization for services. Maintains contact with all parties involved on case, necessary for rehabilitation of the client. * May spend approximately 70% of work time traveling to homes, health care providers, job sites, and various offices as required to facilitate return to work and resolution of cases. * May meet with employers to review active files. * Reviews cases with supervisor monthly to evaluate file and obtain direction. * Upholds the Crawford and Company Code of Business Conduct at all times. * Demonstrates excellent customer service, and respect for customers, co-workers, and management * Independently approaches problem resolution by appropriate use of research and resources. * May perform other related duties as assigned. Requirements * Bachelor's degree in a health-related field is required. * Three years of Workers' Compensation case management with ability to independently coordinate a diverse caseload ranging in moderate to high complexity. * Active RN home state licensure in good standing without restrictions with the State Board of Nursing. * Minimum of 1 nationally recognized Certification from the URAC list of approved certifications required. * Must be able to travel as required. * Individuals who conduct initial clinical review possess an active, professional license or certification: * To practice as a health professional in a state or territory of the U.S.; and * With a scope of practice that is relevant to the clinical area(s) addressed in the initial clinical review. * Must maintain a valid driver's license in state of residence. * Demonstrated ability to handle complex assignments and ability to work independently is required. * Effective oral and written communication skills are required. * Thorough understanding of jurisdictional WC statutes. * Advanced knowledge to exert positive influence in all areas of case management. * Advanced communications and interpersonal skills in order to conduct training, provide mentorship, and assist supervisor in general areas as assigned. * Highly skilled at promoting all managed care products and services internally and externally. About Us 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 that's 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. #LI-SM1

Property Adjuster

Crawford Company
Remote or Las Vegas, NV
This is a position for an outside adjuster working from home covering all of Southwest Nevada Adjust moderately complex residential and commercial property claims by going to the scene of the loss and investigating and negotiating settlements. Responsibilities * examine claim forms, policies/endorsements, and client instructions to determine coverage; * investigate and settle claims promptly and fairly; * set loss reserves and control claims costs; * maintain company reputation by complying with federal and state regulations; * maintain high service standards; * and maintain professional and technical knowledge through continuing company provided industry best education. Requirements * 3 to 5 years experience resolving moderately complex personal and commercial property loss claims; * must be a licensed adjuster; * strong communicator with strong analytical and mathematical skills; * must have a valid driver's license with a clean driving record for company vehicle use; * and strong PC/laptop skills to include a claims or appraisal system such as Xactimate. * Company vehicle, cell phone, and laptop will be provided to qualified applicants that meet Crawford Company's Background Check, Motor Vehicle Record, and Drug Screen requirements. Preferred: * Bachelor's degree in business or insurance related field * Advanced industry designation, ie: AIC, CPCU Physical Requirements * The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. * Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to talk and hear. * Ability to see and read. * Reaching and manual dexterity for operating computer keyboard. * While performing the duties of this position, auto travel may be required. * The employee is required to extend hands and arms in various directions in order to handle files and associated paperwork; use hands/fingers in repetitive motion in keyboard usage; use hands/fingers to efficiently utilize a writing instrument. * Stooping kneeling, crouching, crawling, standing, sitting, walking, pushing, pulling, is relative to office files, etc.. * Expressing or exchanging ideas by means of the spoken word is required, as well as the ability to convey detailed/important instructions in an accurate manner. * Ability to frequently talk or hear on a telephone and receive detailed information through oral communication is required. * Exertion up to 20 pounds of force is occasionally required and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. * Visual activity requirements are those of Clerical Administrative. This is a minimum standard for use with those whose work deals largely with preparing and analyzing data and figures, accounting, computer terminal, extensive reading, operation of machines, and using measurement devices. * Ability to ascend or descend stairwells. * Ability to climb up to and on rooftops. * Ability to climb ladders to inspect roofing/structural damage, and in some cases the ability to enter enclosed spaces * Ability to maintain balance when walking on narrow, slippery, or sloping surfaces. * Ability to work outdoors, exposed to all weather conditions. * Expressing or exchanging ideas by means of the spoken word is required, as well as the ability to convey detailed/important instructions in an accurate manner. * Ability to frequently talk or hear on a telephone and receive detailed information through oral communication is required. * Visual activity requirements are those of Clerical Administrative. This is a minimum standard for use with those whose work deals largely with preparing and analyzing data and figures, accounting, computer terminal, extensive reading, operation of machines, and using measurement devices. About Us People taking care of people. It's that simple. At Crawford Company, we treat our clients' policyholders like our own, helping to restore and enhance lives, businesses and communities at all points of the claims management process. Combining a legacy of nearly 80 years of unmatched experience with global capabilities and industry-leading technology, Crawford is at the forefront of change, while also staying firmly rooted to our commitment to putting people first. We are guided by our collective value system: RESTORE. 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. #LI-AB2

Senior Claims Examiner - Workers Compensation

Crawford Company
Remote or Minneapolis, MN
This is a remote position for the Minneapolis, MN region! Candidates must have experience handling MN and WI jurisdictions. MN license is a plus. 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 company 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. * Workers Compensation (WC) Adjuster License required according to jurisdictional requirements. * 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. * Preferred: * Industry designations such as IIA, AIC, AEI and/or CPCU About Us 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 that's 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.

Property Adjuster

Crawford Company
Remote or Las Cruces, NM
This is a position for an outside property adjuster to work from home covering Southwest New Mexico. Adjust moderately complex residential and commercial property claims by going to the scene of the loss and investigating and negotiating settlements. Responsibilities * examine claim forms, policies/endorsements, and client instructions to determine coverage; * investigate and settle claims promptly and fairly; * set loss reserves and control claims costs; * maintain company reputation by complying with federal and state regulations; * maintain high service standards; * and maintain professional and technical knowledge through continuing company provided industry best education. Requirements * 3 to 5 years experience resolving moderately complex personal and commercial property loss claims; * must be a licensed adjuster; * strong communicator with strong analytical and mathematical skills; * must have a valid driver's license with a clean driving record for company vehicle use; * and strong PC/laptop skills to include a claims or appraisal system such as Xactimate. * Company vehicle, cell phone, and laptop will be provided to qualified applicants that meet Crawford Company's Background Check, Motor Vehicle Record, and Drug Screen requirements. Preferred: * Bachelor's degree in business or insurance related field * Advanced industry designation, ie: AIC, CPCU Physical Requirements * The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. * Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to talk and hear. * Ability to see and read. * Reaching and manual dexterity for operating computer keyboard. * While performing the duties of this position, auto travel may be required. * The employee is required to extend hands and arms in various directions in order to handle files and associated paperwork; use hands/fingers in repetitive motion in keyboard usage; use hands/fingers to efficiently utilize a writing instrument. * Stooping kneeling, crouching, crawling, standing, sitting, walking, pushing, pulling, is relative to office files, etc.. * Expressing or exchanging ideas by means of the spoken word is required, as well as the ability to convey detailed/important instructions in an accurate manner. * Ability to frequently talk or hear on a telephone and receive detailed information through oral communication is required. * Exertion up to 20 pounds of force is occasionally required and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. * Visual activity requirements are those of Clerical Administrative. This is a minimum standard for use with those whose work deals largely with preparing and analyzing data and figures, accounting, computer terminal, extensive reading, operation of machines, and using measurement devices. * Ability to ascend or descend stairwells. * Ability to climb up to and on rooftops. * Ability to climb ladders to inspect roofing/structural damage, and in some cases the ability to enter enclosed spaces * Ability to maintain balance when walking on narrow, slippery, or sloping surfaces. * Ability to work outdoors, exposed to all weather conditions. * Expressing or exchanging ideas by means of the spoken word is required, as well as the ability to convey detailed/important instructions in an accurate manner. * Ability to frequently talk or hear on a telephone and receive detailed information through oral communication is required. * Visual activity requirements are those of Clerical Administrative. This is a minimum standard for use with those whose work deals largely with preparing and analyzing data and figures, accounting, computer terminal, extensive reading, operation of machines, and using measurement devices. About Us People taking care of people. It's that simple. At Crawford Company, we treat our clients' policyholders like our own, helping to restore and enhance lives, businesses and communities at all points of the claims management process. Combining a legacy of nearly 80 years of unmatched experience with global capabilities and industry-leading technology, Crawford is at the forefront of change, while also staying firmly rooted to our commitment to putting people first. We are guided by our collective value system: RESTORE. 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. #LI-AB2

Senior Solutions Architect - Remote

Crawford Company
Remote or Chicago, IL
Under limited supervision and direction, leads architecture efforts on multiple projects. Works closely with business partners, program managers, project managers, business analysts, data analyst, software developers, quality analysts and support specialists during all phases of projects to analyze requirements in the context of related applications and systems, model data and software processes, produce architectural approach documents and blueprints, and provide architectural guidance, oversight and support to projects in general. Mentors other software architects, software developers, and other colleagues. Drives architecture efforts of a whole area aligned with a program director. Actively contributes to strategic architecture improvement efforts.
Responsibilities * Application architecture - works closely with application business owners and program managers to architect major application components and processes; plans architectural improvements in coordination with project managers and provides architectural guidance and support to developers, infrastructure engineers and quality analysts * Data architecture - works closely with program managers, data analyst and business analysts to model data for both transactional and data warehouse databases; maintains data dictionary and metadata; coordinates enhancements to data models with project managers; provides guidance and support to developers, infrastructure engineers and quality analysts * Integration - collaborates with application owners and architects to define and coordinates internal and external application and system integration; coordinates external data feeds, maintains relationships with external counterparts, implements and maintains data feeds. * Strategic Architecture - Monitors the market to gain knowledge and understanding of currently emerging technologies. Identifies new and emerging hardware and software technologies and products based on own area of expertise. Promotes adoption of SOA, DDD, API Led, AWS and related Cloud Technologies and other strategic technologies; Provides support in ROI analysis and project portfolio management leveraging application rationalization, retirement, and streamlining opportunities; develops target technology/software standards and guidelines. * Generates and maintains core application frameworks. * Participate and supports architectural initiatives across strategic programs. * Assists in planning, scheduling, and implementation. * Provides general architectural mentoring. * Participates in special projects or performs other duties as requested. * Upholds the Crawford Code of Business Conduct at all times. Requirements * Successful candidates typically have a bachelor's or master's degree in computer science or similar discipline, or an equivalent combination of education and experience. * 10+ years of information technology industry experience * 4+ years of experience in application, data, integration, or strategic architecture * Experience in the insurance services industry is strongly desired * Information technology or insurance industry certifications is a plus * Strong analytical, problem-solving and organizational skills * Strong communication skills and ability to work in a collaborative environment * Experience in developing comprehensive architectural solutions for a variety of business problems with varying complexity * Fluent in software development life cycle and methodology * Excellent knowledge in data and process modeling * Strong understanding of highly available and scalable solutions * Strong understanding of information security concepts * Expertise in a number of the following areas: * Programming languages - .NET, C#, VB, or Java, J2EE * Web Development - JavaScript, HTML, XML * Databases - Oracle/ PL/SQL or SQL Server/T-SQL or other DB tool * Integration - Restful APIs, RAML, EDI * One or more of the following domains - Data Warehousing, Business Intelligence, BPM, OLTP, OLAP, Mobile Technologies, and related technologies * Modeling languages - UML, TOGAF About Us People taking care of people. It's that simple. At Crawford Company, we treat our clients' policyholders like our own, helping to restore and enhance lives, businesses and communities at all points of the claims management process. Combining a legacy of nearly 80 years of unmatched experience with global capabilities and industry-leading technology, Crawford is at the forefront of change, while also staying firmly rooted to our commitment to putting people first. 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 that's 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. #LI-SM1

Property Adjuster

Crawford Company
Remote or Boston, MA
This a remote work-from-home position for experienced outside property adjusters in Western Mass, preferably in Springfield, Chicopee or Westfield. Other locations will also be considered.

Adjust moderately complex residential and commercial property claims by going to the scene of the loss and investigating and negotiating settlements.
Responsibilities * examine claim forms, policies/endorsements, and client instructions to determine coverage; * investigate and settle claims promptly and fairly; * set loss reserves and control claims costs; * maintain company reputation by complying with federal and state regulations; * maintain high service standards; * and maintain professional and technical knowledge through continuing company provided industry best education. Requirements * 3 to 5 years experience resolving moderately complex personal and commercial property loss claims; * must be a licensed adjuster; * strong communicator with strong analytical and mathematical skills; * must have a valid driver's license with a clean driving record for company vehicle use; * and strong PC/laptop skills to include a claims or appraisal system such as Xactimate. * Company vehicle, cell phone, and laptop will be provided to qualified applicants that meet Crawford Company's Background Check, Motor Vehicle Record, and Drug Screen requirements. Preferred: * Bachelor's degree in business or insurance related field * Advanced industry designation, ie: AIC, CPCU Physical Requirements * The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. * Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to talk and hear. * Ability to see and read. * Reaching and manual dexterity for operating computer keyboard. * While performing the duties of this position, auto travel may be required. * The employee is required to extend hands and arms in various directions in order to handle files and associated paperwork; use hands/fingers in repetitive motion in keyboard usage; use hands/fingers to efficiently utilize a writing instrument. * Stooping kneeling, crouching, crawling, standing, sitting, walking, pushing, pulling, is relative to office files, etc.. * Expressing or exchanging ideas by means of the spoken word is required, as well as the ability to convey detailed/important instructions in an accurate manner. * Ability to frequently talk or hear on a telephone and receive detailed information through oral communication is required. * Exertion up to 20 pounds of force is occasionally required and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. * Visual activity requirements are those of Clerical Administrative. This is a minimum standard for use with those whose work deals largely with preparing and analyzing data and figures, accounting, computer terminal, extensive reading, operation of machines, and using measurement devices. * Ability to ascend or descend stairwells. * Ability to climb up to and on rooftops. * Ability to climb ladders to inspect roofing/structural damage, and in some cases the ability to enter enclosed spaces * Ability to maintain balance when walking on narrow, slippery, or sloping surfaces. * Ability to work outdoors, exposed to all weather conditions. * Expressing or exchanging ideas by means of the spoken word is required, as well as the ability to convey detailed/important instructions in an accurate manner. * Ability to frequently talk or hear on a telephone and receive detailed information through oral communication is required. * Visual activity requirements are those of Clerical Administrative. This is a minimum standard for use with those whose work deals largely with preparing and analyzing data and figures, accounting, computer terminal, extensive reading, operation of machines, and using measurement devices. About Us People taking care of people. It's that simple. At Crawford Company, we treat our clients' policyholders like our own, helping to restore and enhance lives, businesses and communities at all points of the claims management process. Combining a legacy of nearly 80 years of unmatched experience with global capabilities and industry-leading technology, Crawford is at the forefront of change, while also staying firmly rooted to our commitment to putting people first. We are guided by our collective value system: RESTORE. 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. #LI-AB2

Lead Angular Developer - Remote

Crawford Company
Remote or Atlanta, GA

National General Adjuster - Casualty - Remote!

Crawford Company
Remote or Atlanta, GA

Property Adjuster

Crawford & Company
Remote or Boston, MA

Nurse - Medical Case Manager (CA)

Crawford & Company
Remote or Los Angeles, CA

Nurse - Medical Case Manager (CA)

Crawford & Company
Remote or San Francisco, CA

Nurse - Medical Case Manager

Crawford & Company
Remote or Massachusetts

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