Medical Case Manager II7670Based in Atlanta, Georgia, Crawford & Company is the world's largest independent provider of
claims management solutions to insurance companies and self-insured entities, with a global network of more than 700
offices in 63 countries. Major service lines include property and casualty claims management, legal settlement
administration, including class action and warranty inspections, and risk management information services. Broadspire, a
wholly owned subsidiary, offers a broad array of customized casualty, medical management, and integrated disability
management. Crawford's shares are traded on the NYSE under the symbols CRDA and CRDB.
Summary of Role:

THIS
POSITION WILL SERVICE THE EAST ATLANTA, ATHENS & AUGUSTA AREAS:

To provide quality case management services in
an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards
and CMSA Standards of Practice and Broadspire Quality Improvement (QI) Guidelines to patients/employees who are
receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability
and Disability.

Responsibilities:

Reviews case records and reports, collects and analyzes data, evaluates
client's medical status and defines needs and problems in order to provide proactive case management services.Render
opinions regarding case costs, treatment plan, outcome and problem areas, and makes recommendations to facilitate rehab
goals and RTW.Demonstrates ability to meet administrative requirements, including productivity, time management and QI
standards, with a minimum of supervisory intervention.May perform job site evaluations/summaries to facilitate case
management process.Facilitate timely return to work date by establishing a professional working relationship with the
client, physician, and employer. Coordinate RTW with patient, employer and physicians.Maintains contact and communicates
with insurance adjusters to apprise them of case activity, case direction or receive authorization for services.
Maintains contact with all parties involved on case, necessary for case management for the client.May obtain records
from the branch claims office.May review files for claims adjusters and supervisors.May meet with employers to review
active files.Peer reviews and IME's by obtaining and delivering medical records and diagnostic films, notifying
patients' and conferring with physicians.Utilizes experience and medical resources to interpret medical records and test
results and provides assessment accordingly.