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Crawford & Company

National General Adj

Career Insights for Claims Examiner (General)

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What they do

A Claims Examiner evaluates insurance claims in accordance with applicable contracts and government regulations within their insurance type. Determines member eligibility and financial responsibility of the insurance company.

$86,363 / year median in Georgia

+3% projected growth

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Job Description

National General Adj at Crawford & Company National General Adj at Crawford & Company in Peachtree Corners, Georgia Posted in 18 days ago.
Type:
Full-Time Job Description:
Resolves complex commercial property losses generally in excess of $250,000 by investigating damages, negotiating adjustment of losses with corporate management, brokerage personnel, lawyers, accountants or public adjusters representing the insured; presents evidence in legal proceedings. The National General Adjuster's role varies including direct loss assignment handling, assisting branches or Technical Services on loss handling, catastrophe claims assistance, and management of accounts. Provides peer review on assignments to other staff. Requires two years college or an equivalent combination of education and experience; bachelor's degree preferred. Previous experience adjusting complex property or liability claims. General experience level in excess of 10 years handling claims or working within industry segment. Excellent knowledge of interpretation of insurance coverages, customs and practices. Good verbal and written communication skills. Excellent attention to detail. Strong analytical and mathematical ability. Strong organizational and interpersonal skills. Basic computer knowledge. Must be licensed as required by state and local jurisdictions. Must have a valid driver's license. Must complete designated courses while in position in order to advance. Completion of GTS qualification questionnaire is required for position of NGA. #LI-EM3 Examines claims forms, policies and endorsements, client instructions and other records to determine coverage. Ability to manager complex claims and other personnel including adjuster team experts and consultants. Ability to provide successful succession planning, mentoring and assisting losses with other staff. Investigates claims or directs personnel in local branch in doing so by interviewing claimants, witnesses and other interested parties; by obtaining official reports, by inspecting physical damage, by comparing claim information with evidence and/or by consulting with experts. Sets estimate loss values for clients. Prepares reports by collecting and summarizing information required by client, local, state and federal government and by Crawford & Company. Communicates adjustment recommendations to appropriate parties after determining liability. Controls claim costs. Recommends litigation when appropriate. Presents evidence and serves as an expert witness at legal proceedings. Maintains company reputation and insurance product integrity by complying with federal and state regulations and corporate quality standards. Maintains professional and technical knowledge through continuing education. Makes sales calls to solicit new business. Ability to acquire and develop client relationships that result in nominated accounts and business development.