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 You’ll Love It Here:
💰 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.

• 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.