Claims Examiner, Sr. jobs in New Orleans, LA

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)

C
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

  • 7 Days Ago

C
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 m...
  • 7 Days Ago

C
Senior Claims Examiner - Workers Compensation
  • 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 m...
  • 1 Month Ago

T
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...
  • 8 Days Ago

Q
Rep examiner examone
  • Quest Diagnostics Incorporated
  • Metairie, LA FULL_TIME
  • Under the direction of the Branch Manager or Field Leader, the Mobile Examiner's primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and on t...
  • Just Posted

N
Credit Union Examiner
  • National Credit Union Administration
  • Orleans, LA FULL_TIME
  • Job DescriptionCredit Union Examiners plan, conduct, and complete examinations of federally insured and federally chartered credit unions. This includes analyzing credit union data to identify areas o...
  • 8 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Claims Examiner, Sr. jobs found in New Orleans, LA area

A
Virtual/Field Property Adjuster - New Orleans, LA
  • Avail Car Sharing Company
  • New Orleans, LA
  • **Virtual/Field Property Adjuster - New Orleans, LA** **Location:** New Orleans, LA, US The world isnt standing still, a...
  • 4/26/2024 12:00:00 AM

C
Infrastructure Project Manager II (ARPA Project Manager) (class Code 3416)
  • City of New Orleans, LA
  • New Orleans, LA
  • Kind of Work Plans, directs, and coordinates activities of designated American Rescue Plan Act (ARPA) projects to ensure...
  • 4/26/2024 12:00:00 AM

C
Finance Operations Manager (class Code 0253)
  • City of New Orleans, LA
  • New Orleans, LA
  • Kind of Work Highly responsible professional, supervisory and technical work in developing and implementing administrati...
  • 4/26/2024 12:00:00 AM

R
Personal Injury Legal Assistant
  • Redmann Law
  • New Orleans, LA
  • The Law Office of John Redmann is looking to add an experienced Pre Litigation Legal Assistant to our growing firm. The ...
  • 4/25/2024 12:00:00 AM

D
Police Officer
  • Department of Defense
  • New Orleans, LA
  • Summary You will serve as a Police Officer for the DEPARTMENT OF THE NAVY. Learn more about this agency Help Overview * ...
  • 4/25/2024 12:00:00 AM

C
Mechanical Equipment Inspector (class Code 2240)
  • City of New Orleans, LA
  • New Orleans, LA
  • Kind of Work Beginning level inspectional and law enforcement work in maintaining legal requirements and safety standard...
  • 4/24/2024 12:00:00 AM

C
Police Officer (lateral) (class Code 7110)
  • City of New Orleans, LA
  • New Orleans, LA
  • Kind of Work * State statute provides an additional $7200 in annual supplemental pay after one (1) year of qualified law...
  • 4/24/2024 12:00:00 AM

C
Urban Rehabilitation Specialist (class Code 2600)
  • City of New Orleans, LA
  • New Orleans, LA
  • Kind of Work Entry level inspectional and cost estimation work relating to housing rehabilitation; and related work as r...
  • 4/24/2024 12:00:00 AM

New Orleans (/ɔːrˈliːnz, ˈɔːrl(i)ənz/, locally /ˈɔːrlənz/; French: La Nouvelle-Orléans [la nuvɛlɔʁleɑ̃] (listen)) is a consolidated city-parish located along the Mississippi River in the southeastern region of the U.S. state of Louisiana. With an estimated population of 393,292 in 2017, it is the most populous city in Louisiana. A major port, New Orleans is considered an economic and commercial hub for the broader Gulf Coast region of the United States. New Orleans is world-renowned for its distinct music, Creole cuisine, unique dialect, and its annual celebrations and festivals, most notably ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner, Sr. jobs
$60,114 to $77,503
New Orleans, Louisiana area prices
were up 1.2% 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