Auto & Commercial BI Claims Examiner - Litigation

Sedgwick; Miami (FL); Remote; USD 63,000 - 77,000; Full time

Job summary

Sedgwick is seeking a seasoned claims professional to join our team as a Senior Claims Analyst focused on auto bodily injury and commercial transportation claims. You will analyze coverage, investigate liability, and determine damages while ensuring timely resolution and adherence to client requirements.

Responsibilities include coordinating independent adjusters, managing litigation on litigated claims, meeting deadlines, pursuing subrogation opportunities, and maintaining clear communication

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience.
• 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

Bachelor's degree preferred

State adjuster licenses

Tools

Microsoft Office

Job description

Sedgwick is seeking a seasoned claims professional to join our team as a Senior Claims Analyst focused on auto bodily injury and commercial transportation claims. You will analyze coverage, investigate liability, and determine damages while ensuring timely resolution and adherence to client requirements.

Responsibilities include coordinating independent adjusters, managing litigation on litigated claims, meeting deadlines, pursuing subrogation opportunities, and maintaining clear communication