Claims Examiner, Sr. jobs in Denver, CO

Claims Examiner, Sr. reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner, Sr. 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, Sr. determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner, Sr. occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Claims Examiner, Sr. typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)

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

    Position Summary

    • GREAT WORK FROM HOME OPPORTUNITY!
    • Candidates must have an experience handling Auto and General Liability!
    • Multi-licensing is a plus!
    • Candidates must be residing within or near Denver Metropolitan Area.

    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

  • 18 Days Ago

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CO - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Denver, CO FULL_TIME
  • 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA. Copper Claims Services excels in providing custom claims solutions fo...
  • 1 Month Ago

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Sales Representative
  • Colorado Hail Claims
  • Brighton, CO FULL_TIME,CONTRACTOR
  • Colorado Hail Claims is looking for an outgoing and motivated Sales Representative to join our team! The ideal candidate will be responsible for seeking potential customers, build relationships with t...
  • 28 Days Ago

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Account Executive
  • SR Colorado LLC
  • Denver, CO FULL_TIME
  • Shift and Dalwhinnie Farms are two legacy Colorado brands solely-focused on creating the highest quality products, across multiple categories, cultivating premier, top-shelf cannabis. With our grow op...
  • 1 Day Ago

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Administrative Assistant
  • Barry E Walter, Sr. Co.
  • Fort Morgan, CO FULL_TIME
  • BASIC FUNCTION: We are a manufacturing company that is looking for a reliable, hard-working team member in our office. Do you have strong problem solving and decision making skills? Critical thinking ...
  • Just Posted

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Claims- Field Claims Representative
  • The Cincinnati Insurance Companies
  • Denver, CO FULL_TIME
  • US-CO-Denver Description Make a difference with a career in insurance At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. To put this into act...
  • 12 Days Ago

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0 Claims Examiner, Sr. jobs found in Denver, CO area

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Claims Examiner -Remote
  • Generis Tek Inc
  • Denver, CO
  • Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
  • 4/25/2024 12:00:00 AM

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Customer Service Professional 85386
  • New York Life
  • Denver, CO
  • **Customer Service Professional 85386** * **Please wait...** **Location:** Denver, CO, US When you join New York Life, y...
  • 4/25/2024 12:00:00 AM

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Claims- Field Claims Representative
  • Cincinnati Insurance Company, Inc.
  • Denver, CO
  • Description: Make a difference with a career in insurance At The Cincinnati Insurance Companies, we put people first and...
  • 4/24/2024 12:00:00 AM

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Claims Examiner –Remote
  • Generis Tek Inc
  • Denver, CO
  • Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
  • 4/23/2024 12:00:00 AM

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Claims- Field Claims Representative
  • Cincinnati Insurance Company, Inc.
  • Denver, CO
  • Description: Make a difference with a career in insurance At The Cincinnati Insurance Companies, we put people first and...
  • 4/23/2024 12:00:00 AM

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Senior Auto Claims Examiner | Remote
  • King's Insurance Staffing
  • Denver, CO
  • Our client has been experiencing continued growth and seeking to add a Senior Auto Liability/Bodily Injury Claims Examin...
  • 4/22/2024 12:00:00 AM

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Warehouse and Logistics Supervisor
  • Veolia Water Technologies & Solutions
  • Boulder, CO
  • The Water Technologies and Solutions, Analytical Instruments product line business has an opportunity for a Warehouse an...
  • 4/22/2024 12:00:00 AM

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Warehouse and Logistics Supervisor
  • Veolia Water Technologies & Solutions
  • Boulder, CO
  • The Water Technologies and Solutions, Analytical Instruments product line business has an opportunity for a Warehouse an...
  • 4/21/2024 12:00:00 AM

Denver is in the center of the Front Range Urban Corridor, between the Rocky Mountains to the west and the High Plains to the east. Denver's topography consists of plains in the city center with hilly areas to the north, west and south. According to the United States Census Bureau the city has a total area of 155 square miles (401 km2), of which 153 square miles (396 km2) is land and 1.6 square miles (4.1 km2) (1.1%) is water. The City and County of Denver is surrounded by only three other counties: Adams County to the north and east, Arapahoe County to the south and east, and Jefferson County...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner, Sr. jobs
$63,415 to $81,760
Denver, Colorado area prices
were up 0.4% from a year ago

Claims Examiner, Sr. in Riverside, CA
Health Claims Examiners, or Health Information Technicians, enter data electronically to process transactions.
December 14, 2019
Claims Examiner, Sr. in Evansville, IN
If you’re in dire straits, we can advise you on steps to get the OWCP claims examiner to pay attention to your needs, such as contacting the Department of Labor’s district director, or the national director via mail.
February 12, 2020
Claims Examiner, Sr. in Springfield, IL
No, the examiner is only involved in performing the exam and providing the results to the claims processor.
January 13, 2020