Lead and build an operations team to manage claims recoveries, complex coverage and high-reserve reviews, fraud and E&O exposures, and service compliance. Provide data analytics support, operational onboarding, training, audits, and act as liaison between field operations, compliance, and sales. Participate in special projects and ensure consistent adjudication and service standards for program business.
Move the strategic initiative of business units forward from operational and business development point of view.
Responsibilities- Building and manage a team which would allow us to retain any and all recoveries
- Data Analytics. Can assist Service Center Directors in using data as a value prop
- Provides technical assistance on losses involving complex or disputed coverage issues
- Reviews any claim with a potential EandO exposure
- Reviews all claims with a reserve of $100,000 and over
- May assist on any loss with a potential fraud element involved
- Identifies training requirements for adjusters needing skill development. Can serve as point person for assisting to train any casualty TM or higher position
- Investigates and resolves service complaints
- Assists in the selection of potential targets for marketing efforts within assigned geographic regions
- Serves as the operational on-boarding expert for all program business Develops, delivers and manages a second set of service standards that are necessary for program business
- Works in conjunction with the Corporate Compliance to develop and deliver a separate audit that will be used to review program pieces of business
- Serves as the operational liaison between field operations and our compliance department including communications to field offices on files or data not in compliance
- Works with business units to ensure the Crawford umbrella is adjudicating SCHIP claims consistently
- Serves as an operational point person to work with sales and others to ensure stewardship reports make common claim sense
- Upholds the Crawford Code of Business Conduct at all times
- Participates in special projects as requested
- Four year college (Bachelor's Degree)
- 10+ years of Property and Casualty industry experience
- Strong knowledge of industry practices and jurisdictional regulations affecting how a product is planned
- Ability to perform complex financial analysis of product and process performance results
- Analytical Problem Solving - Ability to identify root causes of problems and create new solutions, identify inefficient business work processes, and recommend technological solutions to improve; consider the impact and application of proposed solutions on other projects, work units, or business information problems
- Acumen - Ability to make practical, realistic and timely decisions after considering facts, available organizational resources, and potential risks
- Strong communication skills and the ability to work with various groups
- Solid understanding of development processes and methodology, quality issues, and project management methodologies and tools
- Requires occasional travel
#LI-EM3 #LI-REMOTE
About UsWhy 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
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