Claims Management Specialist
7 days ago
We are seeking a highly skilled Claims Management Specialist to join our team at Crawford & Company. As a key member of our team, you will be responsible for ensuring the fair, effective, and timely resolution of complaints in accordance with Crawford/client/regulatory requirements.
You will work closely with our clients and stakeholders to identify the root cause of complaints and determine the next steps for resolution. Your strong technical claims knowledge and analytical skills will enable you to provide recommendations to claim adjusters to ensure the progress of claims.
As a seasoned professional in claims management, you will be able to showcase your expertise in the review and management of complaints that require technical review, policy interpretation, and a sound understanding of claims management.
You will be the conduit between the business and our clients with respect to complaints/escalations and will be highly competent at determining the next steps and/or the appropriate resolution.
In this role, you will be responsible for:
- Maintaining an expected case load of property claim contacts following complaints
- Working directly with claim adjusters to examine claims forms, policies, and endorsements, client instructions, and other records to determine coverage
- Providing recommendations to claim adjusters to ensure the progress of claims with these recommendations possibly being outside of standard claims management procedures
- Providing recommendations to claim adjusters regarding complaint progress and resolution
- Providing support and advice to policy holders with respect to their claims
- Acting as a team escalation point and proactively managing complex or contentious cases to resolve disputes effectively and put in place corrective measures as required
- Using data to identify vulnerabilities and progress these accordingly
- Going above and beyond to progress and resolve complaints directly with the complainants
- Adhering to insurer client Service Level Agreements and processes
We are looking for a highly motivated and experienced Claims Management Specialist who is able to work autonomously and as part of a close and supporting team. If you have a strong background in claims management and are looking for a challenging and rewarding role, please submit your application.
About Crawford & CompanyCrawford & Company is the world's largest publicly listed claims management company operating in more than 70 countries. We have been in operation for over 80 years and are committed to restoring and enhancing lives, businesses, and communities affected by natural disasters and catastrophic events.
We offer a range of services across the entire claim lifecycle, including loss adjusting, third-party administration, forensic accounting, cyber response, managed repair services, quantity surveying, forensic engineering, and legal services.
We are committed to being an inclusive workplace that employs and retains the best and most diverse talent. We value diversity of thought, experience, and perspective and aim to create a workplace where our people feel valued, respected, and empowered.
We welcome applications from Aboriginal and Torres Strait Islander peoples and from people of all backgrounds regardless of gender identity, age, sexual orientation, disability, or ethnicity.
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