About this role
Administers and resolves non-complex short term claims of low monetary amounts, including Fast Track and Incident Only claims. Documents and monitors open case inventory to ensure proper/timely closing and billing of files. Makes decisions on claims within delegated limited authority.
- College degree or the equivalent education and experience.
- Knowledge of claims and familiarity with claims terminology gained through industry experience and/or through specialized courses of study (Associate in Claim designation, etc).
- Demonstrates a thorough working knowledge of claim processing and claim policies and procedures.
- Demonstrates an understanding of basic medical terminology and appropriate medical tests for claimed conditions
- Demonstrates effective and diplomatic oral and written communication skills.
- Demonstrates a customer-focused approach including the ability to identify and understand customer needs, and interacts effectively with others.
- Must have or secure and maintain the appropriate license(s) as required by the state(s) at the adjuster/supervisory/management level. Must possess a valid driver's license. Must complete continuing education requirements as outlined by Crawford Educational Services. Additional courses may be required by jurisdiction for maintenance of license.
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