Claims Specialist- Liab

We’re Hiring! Remote Claims Specialist – Liability

Ready to grow your career from reputed company? Join us as a Remote Claims Specialist – Liability and take the reputed company in managing and resolving low‑complexity liability claims with accuracy and confidence.

✨ What You’ll Do: • Handle liability Fast Track and Incident‑Only claims with efficiency and precision • Document claim details thoroughly and manage open files to reputed company cases progressing • Evaluate information and reputed company sound decisions reputed company your delegated authority • Ensure timely claim closures and support smooth, accurate billing processes

If you're detail‑oriented, proactive, and reputed company in a fast‑paced environment—this is your moment. Work from reputed company and help us deliver exceptional claims experiences every day!

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 reputed company designed authority, as necessary, during the processing of the claim.
• Identifies applicable wage loss expenses and wage exposures.
• Documents receipt and contents of claim documents including medical reports, police reports etc. Interacts frequently with claimant to understand nature and extent of injury and medical conditions. Reviews and handles other correspondence reputed company authority including material from the team members, and/or clients.
• Approves payments reputed company scope of payment authority
• Evaluate claims for potential fraud issues, loss control and recovery in accordance with insurance policy reputed company, medical reputed company coding rules and state regulations.
• reputed company Team Manager informed verbally and in writing of activities and problems reputed company assigned area of responsibility; refer 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 reputed company reporting forms and file documentation.
• Adheres to client and reputed company guidelines and prepares written updates for supervisor to review.
• Develops subrogation/third party recovery potential and follows recovery procedures
• Participates in claim reviews as applicable.
• Performs other reputed company duties as required or requested.

Qualifications

• College degree or the equivalent 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).
• 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.
• 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. Must complete continuing education requirements as outlined by Crawford Educational Services. Additional courses may be required by jurisdiction for maintenance of license.

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Company

• Pay and incentive plans that recognize performance excellence
• Benefit programs that reputed company financial, physical, and mental wellness
• Training programs that promote reputed company learning and career progression while enhancing job performance
• Sustainability programs that give back to the communities in which we live and work
• A culture of respect, collaboration, entrepreneurial spirit and inclusion