About this role
Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims. Documents and monitors open case inventory and ensures proper and timely closing of files. Makes decisions on claims within delegated limited authority.
- College degree or the equivalent of 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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