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Crawford amp; Company Senior Claims Examiner Workers Compensation in Livonia, Michigan

and#160;and#160;and#160;spanInvestigate 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 company attorneys in preparing cases for litigations. Conducts training and mentors new hires./spanand#160;and#160;and#160;and#160;ullispanInterprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted./span/lilispanManages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel.and#160;and#160;and#160; /span/lilispanAnalyzes claims activity and prepares reports for clients/carriers and management./span/lilispanEstablish 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./span/lilispanSettles claims promptly and equitably and issues company drafts in payments for claims within authority limits./span/lilispanDevelops subrogation and third party recovery potential and follows reclaim procedures./span/lilispanAnalyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews./span/li/uland#160;ulliBachelor's degree or equivalent experience./liliTechnicaland#160;claims investigations/settling experience with 4-8 years experience in Claims or similar organization./liliWorkers Compensation (WC) Adjuster License requiredand#160;according to jurisdictional requirements./liliAbility to work independently while assimilating various technical subjects./liliStrong written and oral communication, negotiation and presentation skills./liliAdvanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects./liliand#160;/li/ulPreferred:ulliIndustry designations such as IIA, AIC, AEI and/or CPCU/li/uland#160;spanThink all TPAs are the same? Think again. With Broadspire, our leading global third-party administrator (TPA), Crawford Company is the consultative outsourcing partner that adapts to businessesand#8217; needs and challenges at any point of the claims processing journey. We offer casualty claim and medical management services to assist large organizations in achieving their unique goals, increasing employee productivity and reducing the cost of risk through professional expertise, technology and data analytics./spanspanAs part of the One Crawford family, Broadspire brings together the best and brightest people in the industry to deliver smart, thoughtful solutions to our clients, and we are guided by our collective value system: RESTORE./spanspanAt Crawford, we:/spanullispanspanR/spanespect our culture of integrity and ethical behavior, while embracing the unique talents of the individual and encouraging an ownership mentality among everyone./span/lilispanAre spanE/spanmpowered to advance the company mission a