Auto Bodily Injury Claims Examiner — Complex Claims

Sedgwick; Seven Hills (OH); On-site; USD 63,000 - 77,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401k and matching

PTO

Disability and life insurance

Employee assistance

Flexible spending or health savings

Other additional voluntary benefits

Job summary

Sedgwick is seeking a Claims Examiner for Auto Bodily Injury to analyze and process complex auto and commercial transportation claims. You will review coverage, investigate liability, and evaluate damages to support timely resolutions for clients and insureds.

The role requires strong communication, familiarity with personal and commercial auto policies, and the ability to coordinate with vendors, adjusters, and clients in a fast-paced environment.

Qualifications

• Five (5) years of claims management experience or equivalent combination of education and experience.
• Bachelor's degree preferred.
• Professional certification as applicable to line of business preferred.
• Secure and maintain the State adjusting licenses as required for the position.

Responsibilities

• Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly.
• Responsible for litigation process on litigated claims.
• Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims.
• Reports large claims to excess carrier(s).
• Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution.
• Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage.
• Communicates claim action/processing with insured, client, and agent or broker when appropriate.
• Performs other duties as assigned.
• Supports the organization's quality program(s).

Skills

Communication

Teamwork

Education

Bachelor's degree

Tools

Microsoft Office

Job description

Sedgwick is seeking a Claims Examiner for Auto Bodily Injury to analyze and process complex auto and commercial transportation claims. You will review coverage, investigate liability, and evaluate damages to support timely resolutions for clients and insureds.

The role requires strong communication, familiarity with personal and commercial auto policies, and the ability to coordinate with vendors, adjusters, and clients in a fast-paced environment.