📢 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.

The Dental Claims Resolution Specialist I is responsible for entering and processing dental claims in the claims system. This role requires attention to detail, strong problem-solving skills, and the ability to follow established guidelines to ensure claims are processed accurately and on time. Compensation: Pursuant to Service Contract Act You will review claim submissions, enter claim information into the system, identify errors or missing information, and help ensure claims move through the process efficiently. Key Responsibilities - Enter dental claim information into the claims processing system from paper, portal, or fax submissions - Review claims for accuracy and correct OCR or data entry errors - Monitor and respond to questions from the claims email queue - Assist with resolving claims that fail electronic processing (EDI errors) - Track claims issues using spreadsheets to ensure claims are processed within required timelines - Research and resolve moderately complex claims issues - Follow the full claim lifecycle to ensure claims are processed and resolved properly - Communicate with internal teams to resolve claim issues when needed Work Environment - Fully remote position (U.S.-based employees only) - Work hours will be communicated during the hiring process - Company equipment and systems will be provided for performing job duties

Role Description The Dental Claims Resolution Specialist I is responsible for entering and processing dental claims in the claims system. This role requires attention to detail, strong problem-solving skills, and the ability to follow established guidelines to ensure claims are processed accurately and on time. Compensation: Pursuant to Service Contract Act You will review claim submissions, enter claim information into the system, identify errors or missing information, and help ensure claims move through the process efficiently. Key Responsibilities - Enter dental claim information into the claims processing system from paper, portal, or fax submissions - Review claims for accuracy and correct OCR or data entry errors - Monitor and respond to questions from the claims email queue - Assist with resolving claims that fail electronic processing (EDI errors) - Track claims issues using spreadsheets to ensure claims are processed within required timelines - Research and resolve moderately complex claims issues - Follow the full claim lifecycle to ensure claims are processed and resolved properly - Communicate with internal teams to resolve claim issues when needed Work Environment - Fully remote position (U.S.-based employees only) - Work hours will be communicated during the hiring process - Company equipment and systems will be provided for performing job duties Qualifications - At least 3 years of claims processing or related experience (dental experience preferred) - Strong attention to detail and problem-solving skills - Proficiency with Microsoft Office (Excel, Word, Outlook) - Ability to work independently and as part of a team - Strong written and verbal communication skills - Ability to manage multiple tasks and adapt to changing priorities Preferred Qualifications - Dental claims processing experience - Dental office or dental assisting background - Associate degree in Business Administration or a related field - Dental or medical coding experience - Healthcare or medical call center experience Benefits - Competitive salary - Medical benefits - PTO - Holiday pay - More Company Description MPF Federal is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description OMS National Insurance Co. is a nationwide company in search of nationwide talent. We have one simple mission at OMSNIC - We are dedicated to serving and protecting oral and maxillofacial surgeons and dental professionals nationwide. If you are an experienced medical malpractice claims professional based in the U.S, and would like to join us in our mission, we invite you to apply for this remote opportunity. (Local candidates are encouraged to apply as well, and would qualify for a hybrid work schedule). Our claims analysts have direct contact with our policyholders and are regarded as trusted partners, managing an assigned caseload of claims. This includes the investigation, evaluation, and resolution of both pre-litigation and litigated matters. Essential Duties and Responsibilities: - Evaluate coverage - Assign, collaborate with, and oversee outside defense counsel - Review and analyze medical records - Investigate and evaluate issues of liability, causation, and damages, proactively moving the files toward resolution - Participate in the formulation of case strategy - Negotiate claims in a settlement posture - Evaluate indemnity and expense reserves - Prepare comprehensive claims reports - Present claims to management and for internal review - Regularly communicate with policyholders, keeping them informed of status and strategies - Timely and accurately document claim files - Help maintain claim file data for accurate reporting - Review and approve invoices General: - Contribute to departmental and company goals, initiatives and projects - May attend or participate in training and development programs - Planning and participation in Risk Management and Defense Counsel Seminars - May participate in the training and development of new hires - May participate in planning, development, and testing of technology solutions Competencies: - Strong organizational and time management skills, ability to meet deadlines - Effective written and oral communication skills to provide information in a clear and concise manner and to communicate with a variety of stakeholders - Effective analytical and critical thinking skills to analyze facts and draw conclusions to make recommendations and resolve issues - Ability to prepare robust reporting yet provide a broad scope overview and summary, when appropriate - Superior customer service skills and ability to actively listen - Strong interpersonal skills with ability to interact with policyholders, legal professionals, management, co-workers, agents, committee and board members, and external vendors - Strong mediation and negotiation skills - Microsoft Office Suite proficiency with emphasis on Word, Excel, and PowerPoint Qualifications - Bachelor’s Degree required - JD preferred but not required - Minimum 5 years’ experience in medical professional liability claims management field Requirements - Fully remote - Travel required as needed Salary $100,000-$140,000. The salary range represents the entirety of the pay grade for this role. Specific salaries will be determined using a variety of factors, including specific skills, years of experience, location, and comparison to team members already in this role. Benefits - Medical, Dental, and Vision Insurance - 401(k) - Short and Long-term disability - Life Insurance - Employee Assistance Program - Long-term incentive plan - Educational Assistance and rewards program - Paid Time Off - Paid Holidays - Paid parental leave - Home office stipend