Quality Reviewer I

Reviews low severity and/or 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.

Conducts thorough and accurate testing of claims before submission to clients. Claims are primary focused on personal lines and large national accounts with some limited commercial assignments.
• Reviews and verifies claims information to ensure the proper processing in accordance with established quality standards.
• Reads and interprets customer and vendor specifications. Reviews transactions and compares to the source documents to resolve errors and provides proper feedback.
• Verifies corrected material and prepares quality assurance reports as appropriate.
• Analyzes claims and process trends and makes corrective recommendations.
• Assist in identification of new procedures, methods and/or tools to improve the efficiency of the quality process.
• Provides analysis and consulting support for the development and support of adjusters in the field. Provides detailed feedback to service centers regarding trends and anomalies in the claim files.
• Continuous monitoring of process performance and reports performance to responsible management.
• Remains up-to-date with QA industry standards, principles and practices.
• continuing education and development of skills.
• Upholds Crawford Code of Conduct.

• Bachelor's degree or an equivalent combination of education and experience.
• Three years experience handling property and/or casualty claims with at least one year of audit/quality control experience.
• Must have or secure and maintain the appropriate license(s) as required buy the state(s) at the adjuster level.
• Must complete continuing education requirements as outlined by Crawford Educational Services.
• Excellent writing and verbal communication skills.
• Strong analytical ability.
• Attention to detail.
• Must possess critical thinking, interpersonal, problem solving, teamwork, and organizational skills.
• Demonstarates excellent work ethic and focus on work, tasks, priorities and improving the QA process.

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.