Auto Bodily Injury Claims Examiner — Growth & Flex

Sedgwick

Orangeburg (SC)

On-site

USD 80,000 - 85,000

Full time

6 days ago
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Benefits offered by this job

Flexible schedule
Referral incentive
Career development
Comprehensive benefits package

Job summary

Sedgwick is seeking a Claims Examiner, Auto | Bodily Injury, to analyze and process complex bodily injury auto and commercial transportation claims. This role reviews coverage, investigates liability, and evaluates damages to ensure timely resolution in line with client requirements.

The ideal candidate has five years of claims management experience, strong communication skills, and state adjuster licensing.

Qualifications

  • Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage’s, principles, and laws.
  • Bachelor's degree from an accredited college or university preferred.
  • Professional certification as applicable to line of business preferred.
  • Skills: strong oral and written communication, including presentation skills, PC literate including Microsoft Office products, and ability to work in a team environment.
  • 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

Oral and written communication
Teamwork
Microsoft Office

Education

Five years of claims management experience
Bachelor's degree preferred
Professional certification preferred
State licensing as required

Job description

Sedgwick is seeking a Claims Examiner, Auto | Bodily Injury, to analyze and process complex bodily injury auto and commercial transportation claims. This role reviews coverage, investigates liability, and evaluates damages to ensure timely resolution in line with client requirements.

The ideal candidate has five years of claims management experience, strong communication skills, and state adjuster licensing.

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