Quality Reviewer II (Claim Adjuster Work Product)

Based in Atlanta, Ga., Crawford&Company () is the world's largest independent provider of claims management solutions to the risk management and insurance industry as well as self-insured entities, with an expansive global network serving clients in more than 70 countries. The Crawford System of Claims SolutionsSM offers comprehensive, integrated claims services, business process outsourcing and consulting services for major product lines including property and casualty claims management, workers compensation claimsand medical management, and legal settlement administration. The Company s shares are traded on the NYSE under the symbols CRDA and CRDB. Position Summary: Reviews property and casualty claims to ensure quality and compliance with client instructions and service level agreements. Investigates and analyzes quality trends, recommends solutions and ensures corrections are made.Responsibilities: Responsible for the review and analysis of complex claim files to ensure quality work products are sent to clients. Manages the tracking, reporting and analysis of quality data. Makes decisions regarding the depth of testing required based on: adjuster, client, and previous/common errors. Partners with other claims technical staff to ensure overall product quality. Reviews and verifies information on complex claims to ensure processing with established quality standards. Understands and interprets complicated client and vendor specifications. Develops alternative methods to achieve uniform quality including identifying process variables and training opportunities. Verifies corrected material and prepares quality assurance reports as appropriate. Requirements: Bachelors degree in Risk Management, Business or related field. Five years of experience handling complex property and/or casualty claims. Must have or able to secure adjuster license(s) as required by the state(s) serviced. Audit/quality control experience. Excellent writing and verbal communication skills. Strong analytical ability. Ability to work independently in a multi-tasking environment with a sense of urgency with little direct supervision. Preferred: Experience in automated testing of environment is strongly preferred. Advanced industry designations: AIC and/or CPCU. In addition to a competitive salary, Crawford offers you: Career advancementpotential locally, nationally and internationally. Crawford&Company has more than 700 locations in 70 countries On-going trainingopportunities through every stage of your career Strong benefits packageincluding matching 401k; health, dental, and life insurance; employee stock purchase plans; tuition reimbursement and so much more. Crawford&Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/VCrawford&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.