Sr Claim Examiner-WC (CA)

📣 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 Join Crawford & Company?
💻 Great Work From Home Opportunity
💼 Excellent Crawford Benefits that Empower Financial, Physical, and 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, evaluate, and resolve advanced, large-loss, and complex workers compensation claims with a high degree of autonomy.
✅ Analyze compensability, determine liability, manage reserves, and negotiate claim settlements.
✅ Partner with defense counsel on litigated matters and support team development by conducting training and mentoring new hires.

• 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.

• 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.
• Industry Designations: Preferred: IIA, AIC, AEI, and/or CPCU.
• License Requirements:Per State or Jurisdictional requirements.
• Workers Compensation (WC) Adjuster License required according to jurisdictional requirements

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