Claims Examiner jobs in Louisiana

Claims Examiner reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Additionally, Claims Examiner determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Claims Examiner typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)

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Senior Claims Examiner - Liability
  • Crawford & Company
  • Orleans, LA OTHER
  • Excellence In Everything We Touch

    Position Summary

     

    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 defense 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.
    • 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 interna and external clients.

    Preferred:

    • IIA, AIC, AEI, and/or CPCU.

    About Us

    Why Crawford?

     

    Because a claim is more than a number — it’s a person, a child, a friend. It’s anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community – one claim at a time.

     

    At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We’re looking for the next generation of leaders to take this journey with us.

     

    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 purpose, vision and values. Learn more at www.crawco.com.

     

    When you accept a job with Crawford, you become a part of the One Crawford family. 

     

    • Our total compensation plans provide each of our employees with far more than just a great salary
    • Pay and incentive plans that recognize performance excellence
    • Benefit programs that empower financial, physical, and mental wellness
    • Training programs that promote continuous 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

     

    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-EM3

  • 2 Days Ago

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Claim representative
  • Summit Claims
  • Baton Rouge, LA FULL_TIME
  • Headquartered in the Central Florida city of Lakeland, Summit employs over 700 office and field associates at its main location and regional offices in Baton Rouge, Louisiana, and Gainesville, Georgia...
  • 16 Days Ago

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Field Roof Inspector - Baton Rouge, LA
  • Hancock Claims Consultants
  • Baton Rouge, LA CONTRACTOR
  • Hancock Claims Consultants specialize in Ladder Assist and Property Inspection Services, collaborating directly with numerous insurance agencies for efficient claims management.At Hancock, we are at t...
  • 9 Days Ago

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Private Investigator
  • Claims Bureau USA
  • Alexandria, LA FULL_TIME,PART_TIME
  • Claims Bureau USA is an industry leading Private Investigation Company. Individuals must have a strong work ethic, ability to operate independently and sufficiently. Individuals must possess, good pro...
  • Just Posted

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Field Roof Inspector - Baton Rouge, LA
  • Hancock Claims Consultants Technicians
  • Baton Rouge, LA CONTRACTOR
  • Hancock Claims Consultants specialize in Ladder Assist and Property Inspection Services, collaborating directly with numerous insurance agencies for efficient claims management.At Hancock, we are at t...
  • 10 Days Ago

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Property Litigation Supervisor
  • TheBest Claims Solutions
  • Orleans, LA FULL_TIME
  • Our client is looking for a Property Litigation Supervisor to work in their New Orleans office. This candidate will need to have experience with litigated property claims in the state of Louisiana. #I...
  • 29 Days Ago

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Claims Examiner
  • US Tech Solutions, Inc.
  • Atlanta, GA
  • Job Title: Claims Examiner Location: Remote Duration: 06 months contract (C2H) Job Description: Responsibilities: • Inve...
  • 6/11/2024 12:00:00 AM

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Claims Examiner
  • Manpower
  • El Segundo, CA
  • Our client, Legal Industry is seeking a Claims Examiner to join their team. As a Legal Claims Examiner you will be part ...
  • 6/11/2024 12:00:00 AM

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Claims Examiner
  • Insight Global
  • Folsom, CA
  • Insight Global is looking for a Claims Examiner for one of their insurance clients in Folsom, CA. This is a fully onsite...
  • 6/10/2024 12:00:00 AM

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Claims Examiner
  • Insight Global
  • Folsom, CA
  • The Claims Examiner is responsible for ensuring claims are coded and processed correctly and for meeting production requ...
  • 6/10/2024 12:00:00 AM

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Claims Examiner
  • Capital Blue Cross
  • Harrisburg, PA
  • Position Description: This position is responsible for the coding and total processing of claims and triaging claim adju...
  • 6/9/2024 12:00:00 AM

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Claims Examiner
  • The Jonus Group
  • Position Overview: As a Commercial Auto and General Liability Claims Adjuster, you will be responsible for managing comp...
  • 6/8/2024 12:00:00 AM

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Claims Examiner
  • AIG
  • Cincinnati, OH
  • This is a hybrid role in Cincinnati Ohio requiring 3 to 4 days in office. Who we are American International Group, Inc. ...
  • 6/8/2024 12:00:00 AM

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Claims Examiner
  • JCW
  • JCW is currently recruiting on behalf of a rapidly growing Property & Casualty Insurance Company who are looking to add ...
  • 6/7/2024 12:00:00 AM

Louisiana is bordered to the west by Texas; to the north by Arkansas; to the east by Mississippi; and to the south by the Gulf of Mexico. The state may properly be divided into two parts, the uplands of the north, and the alluvial along the coast. The alluvial region includes low swamp lands, coastal marshlands and beaches, and barrier islands that cover about 20,000 square miles (52,000 km2). This area lies principally along the Gulf of Mexico and the Mississippi River, which traverses the state from north to south for a distance of about 600 mi (970 km)) and empties into the Gulf of Mexico; ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner jobs
$45,746 to $60,662