• Complete field inspections, reviews and adjustments accurately and efficiently to administer crop insurance policies. • Ensure compliance with insurance statutes and regulations to apply crop policies cost-effectively. • Build and maintain customer relationships through timely and accurate policy service. • Document and process loss information accurately to assess potential damages. • Participate in quality control tasks, audits, risk assessments, and field reviews. • Contribute to a positive work environment by demonstrating cultural expectations and influencing others positively. • Support business objectives through quality control tasks, audits, and risk assessments.

• Investigate and resolve claim rejections, denials, and payer edits identified before or after claim submission • Review claim history, payer correspondence, medical records, authorizations, and supporting documentation to determine the cause of claim issues • Correct billing, coding, demographic, authorization, and insurance-related claim errors as appropriate • Process claim corrections, adjustments, resubmissions, and reconsideration requests in accordance with payer guidelines • Perform payer research and communicate directly with insurance carriers to resolve claim processing issues • Monitor assigned work queues and ensure timely resolution of outstanding claims • Escalate complex reimbursement, coding, or compliance issues to senior team members • Partner with A/R and Denials Management teams to resolve denied and underpaid claims • Assist in preparing appeal documentation and supporting materials for denied claims • Identify recurring denial patterns and communicate findings to the Senior Claims Resolution Coordinator • Maintain accurate documentation of denial resolution activities and payer communications • Support efforts to reduce preventable denials and improve reimbursement outcomes • Work closely with the pre-billing team to identify and correct claim issues prior to submission • Review claims for completeness and compliance with payer billing requirements • Verify insurance information, authorizations, referrals, diagnosis coding, procedure coding, and modifier usage • Collaborate with coding and clinical teams to obtain information needed for claim resolution • Assist with reducing claim holds and billing delays • Participate in routine claim quality reviews and internal audit activities • Ensure claim corrections comply with payer regulations, organizational policies, and billing guidelines • Support Revenue Integrity initiatives through accurate claim review and documentation • Maintain knowledge of Medicare, Medicaid, Workers' Compensation, and Commercial payer requirements • Adhere to HIPAA, CMS, and organizational compliance standards • Maintain detailed documentation of claim investigations, resolutions, payer communications, and follow-up activities • Track assigned workloads and resolution outcomes • Assist with compiling information for denial trend reporting and operational reviews • Provide feedback regarding workflow issues contributing to claim errors or payment delays • Assumes other responsibilities as appropriate to the position and organizational needs

• Investigates, evaluates, negotiates, and resolves assigned Commercial Auto Bodily Injury Claims • Demonstrates technical proficiency for handling complex claims with minimal supervision • Establishes and maintains positive relationships with internal and external customers • Assists in building business partner relationships with agents, insureds, and Commercial Lines • Establishes and maintains proper reserving through proactive investigation • Assists other departments with investigations when required • May be assigned to handle general liability claims

Role Description Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established authority on moderate-to-difficult claims. - Reviews coverages, determines liability and compensability, secures information, arranges property damage appraisals and settles claims utilizing claims best practices. - Evaluates and sets reserves using independent judgment. - Assists supervisor and company attorneys in preparing cases for litigations. - Conducts training and mentors new hires. Benefits - Competitive base pay - Bonus/Incentive Pay and other Performance-Based Rewards, if applicable. - Medical, Dental and Vision Plans - Prescription Drugs - HSA, HRA, and FSA Accounts - Paid Holidays, Vacation and Sick Leave - 401(k) Retirement Plan - Tuition Assistance - Paid Parental Leave - Supplemental Health Benefits - Enhanced Mental Health Support - Virtual Physical Therapy - Caregiving Services - Life Assistance Program - 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. Company Description 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 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. Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V.