📢 We’re Hiring: Senior Claims Examiner – Liability 🌍This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise. ✅ Why Join Crawford & Company? 💻 Great Work From Home Opportunity 💼 Excellent Crawford Benefits that Empower Financial, Physical, and Mental Wellness 🎯 Great Bonus Opportunity 💰 Generous Employee Referral Bonus Program 🛍️ Access to Multiple Employee Discounts We’re looking for a Senior Claims Examiner – Liability with a passion for claims management to join our team! 📜 Licensing is a requirement. ✔️ Proven expertise in managing complex liability claims. 🔍 Role Overview: 🕵️ Investigate and settle advanced, large‑loss, and complex claims promptly and equitably under minimal supervision, while working within established authority on moderate‑to‑difficult claims. 📑 Review coverages, determine liability and compensability, secure information, arrange property damage appraisals, and settle claims using claims best practices. 📊 Evaluate and set reserves using independent judgment, assist supervisors and defense attorneys in preparing cases for litigation, and support team development by conducting training and mentoring new hires. Why 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 Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description We are seeking highly organized and customer-focused Rideshare Bodily Injury Resolution Specialists to join our team. In this role, you will manage bodily injury claims arising from incidents involving vehicles operating on rideshare platforms. You’ll serve as the main point of contact for injured parties, policyholders, attorneys, medical providers, and other stakeholders—working to deliver timely, fair, and compliant claim resolutions. - Assess liability, evaluate medical treatment and injury severity, review documentation, and negotiate settlements across a variety of bodily injury exposures. - Work closely with internal product and engineering teams to share insights that drive process improvements and technology enhancements across the claims journey. Resolution Specialists are: - Highly motivated and growth-oriented. - Passionate specialists who care about the customer and their experience. - Empathetic and exercises patience towards everyone interacted with. - Creative in finding the right exit ramp for the resolution of the claim. - Conflict-enjoyers who work toward a win/win claim resolution. - Curious and want to know the whole story for quick resolutions. - Anti-status quo and take appropriate actions to ensure improvements. - Communicative with professional written and oral communication. - Possessing a sense of humor. Qualifications - Bachelor's degree (lack of one should not stop you from applying if you possess all the other qualifications). - Rideshare/TNC/Livery experience required. - Minimum of 3 years of experience concentrated in rideshare claims adjusting, ideally with: - Commercial auto exposures - Both attorney-represented and unrepresented claims - Third-party bodily injury, including catastrophic losses - UM/UIM bodily injury - Litigation experience - PIP a plus, but not required - Have active adjuster license(s) and be willing to obtain all licenses within 60 days, including completing state-required testing. - Knowledge of state regulations, policy provisions, and standard operating procedures. - Willingness to travel for clients and claims needs. Requirements - Provide prompt, courteous and high-quality customer service to all policyholders and claimants. - Manage an inventory of litigated and non-litigated cases. - Analyze and review auto insurance claims to identify areas of dispute. - Ensure compliance with specific state regulations, policy provisions, and standard operating procedures. - Manage both non-litigation and litigation cases related to auto claims disputes. - Collaborate with defense counsel, claims counsel, and litigation claims management for strategic planning. - Review legal documents and ensure compliance with the initial suit-handling plan of action. - Serve as corporate representative for discovery review and depositions. - Analyze policy language and reach appropriate coverage decisions. - Direct and control the activities and costs of outside vendors. - Maintain adjuster licenses and continuing education requirements. Benefits - Generous health-insurance package with nationwide coverage, vision, & dental. - 401(k) retirement plan with employer matching. - Competitive PTO policy. - Generous family leave policy after 8 months of continuous work. - Work from anywhere to facilitate your work-life balance. - Apple laptop, large second monitor, and other quality-of-life equipment. - Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster. - Work toward reducing and eliminating all the administrative work from an adjuster role. - Foster a culture of empathy, transparency, and empowerment in a remote-first environment.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description We are seeking a highly skilled and motivated addition to our Plan Building and System Configuration team to optimize auto adjudication processes across all systems. The ideal candidate will have hands-on experience in plan building, system configuration, and claims testing in the healthcare industry. This role requires a dynamic individual who can manage multiple systems, learn and integrate new technologies, and build and test updates to ensure efficient and accurate claims processing. - Develop, configure, and maintain healthcare plan designs and benefit configurations in various systems. - Ensure all plan configurations support auto adjudication and meet regulatory and compliance requirements. - Regularly review and update plan configurations to reflect changes in healthcare policies and regulations. - Oversee the integration and interoperability of different healthcare systems to streamline auto adjudication processes. - Facilitate system upgrades, patches, and maintenance to ensure seamless operation and minimal downtime. - Collaborate with IT and other departments to implement new technologies and enhancements. - Perform comprehensive testing of plan configurations to ensure accurate and efficient claims adjudication. - Identify and resolve any discrepancies or issues in the adjudication process. - Create and document testing protocols and procedures to maintain high standards of quality and accuracy. - Work closely with internal and external stakeholders to gather requirements and ensure plan configurations meet organizational and client needs. - Become a subject matter expert on plan building and system configuration, providing guidance and support to other departments. - Communicate effectively with stakeholders to keep them informed of project status, issues, and resolutions. - Maintain detailed documentation of all plan configurations, system changes, and testing procedures. - Use data and analytics to identify trends, opportunities for improvement, and areas needing attention. Qualifications - Associate’s degree in healthcare administration, information systems, or a related field. - Minimum of 2 years of experience in plan building, system configuration, and claims adjudication in the healthcare industry. - Strong knowledge of healthcare policies, regulations, and compliance requirements. - Proficiency in using healthcare management systems and software. - Excellent problem-solving skills and attention to detail. - Effective communication and interpersonal skills. - Ability to work in a fast-paced environment and manage multiple projects simultaneously. - Experience with auto adjudication systems and technologies preferred. - Certification in healthcare information systems or related fields preferred. - Proven track record of successful system integration and optimization projects preferred. Requirements - Individual compensation will be commensurate with the candidate's experience and qualifications. - Certain roles may be eligible for additional compensation, including bonuses, and merit increases. - Certain roles have the opportunity to receive sales commissions based on the terms of the sales commission plan applicable to the role. - Pay Transparency: $45,000 — $60,000 USD Benefits - Comprehensive medical, dental, vision, and life insurance coverage. - 401(k) retirement plan with employer match. - Health Savings Account (HSA) & Flexible Spending Accounts (FSAs). - Paid time off (PTO) and disability leave. - Employee Assistance Program (EAP). Company Description At Point C Health, we know we are better together. We value, respect, and protect the uniqueness each of us brings. Innovation flourishes by including all voices and makes our business—and our society—stronger. Point C Health is an equal opportunity employer and we are committed to providing equal opportunity in all of our employment practices, including selection, hiring, performance management, promotion, transfer, compensation, benefits, education, training, social, and recreational activities to all persons regardless of race, religious creed, color, national origin, ancestry, physical disability, mental disability, genetic information, pregnancy, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, and military and veteran status, or any other protected status protected by local, state or federal law.

National Interstate is a member of Great American Insurance Group. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes. Our offerings include traditional insurance and innovative alternative risk transfer (ART) programs, including more than a dozen group captive programs catering to niche wheels markets. We are proud to be a multiple Northcoast 99 winner and Cleveland Plain Dealer Top Workplace in Northeast Ohio. It is because of our talented and dedicated team that we are able to live out our company values of integrity, transparency, fairness, accountability, empowerment and collaboration with each transaction we make. If you are ready to join an engaging and driven team such as ours, we would love to hear from you! At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. Essential Job Functions and Responsibilities - Manages a large inventory of complex claims to evaluate compensability/liability. - Plans and conducts complex claims investigations to confirm coverage and to determine liability, compensability and damages. - Analyzes and negotiates appropriate claim settlements/reserves within prescribed authority. May attend arbitrations, mediations, depositions, or trials. - Conveys complex information regarding coverage and settlements to insureds, claimants, and external partners. - Authorizes payments in accordance with assigned authority limit and ensures payments are made in a timely manner. - Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements. - May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports. - Performs other duties as assigned. Job Requirements Education: Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience. Experience: Generally, a minimum of 9 years of experience in property and casualty claims handling. Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC). PREFER NJ PA MA or MO IL IA WI STATE HANDLING EXPERIENCE Scope of Job/Qualifications: Works within broad limits and authority on assignments of the highest technical complexity, requiring specialized knowledge. Demonstrates excellent analytical, negotiation, and problem-solving skills. Maintains strong knowledge of insurance policies, coverage, and claims handling procedures. Maintains knowledge of industry laws and regulations. Advanced ability to organize and prioritize caseloads, ensuring timely resolution of claims. Excellent interpersonal and communication skills with the ability to build relationships and lead negotiations. Proven ability to handle confidential information with discretion. Viewed as a senior resource within the Claims department and/or organization. Company: NIIC National Interstate Insurance Company Salary Range: $80,000.00 -$95,000.00 Benefits: We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits. Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at http://www.gaig.com/careers. *Excludes seasonal employees and interns.