Claims Examiner, Auto | Bodily Injury

Sedgwick; Seattle (WA); Remote; USD 80.000 - 85.000; Vollzeit

Benefits dieser Stelle

Flexible schedule

Referral program

Career development

Benefits package

Zusammenfassung

Sedgwick is seeking a Claims Examiner to analyze and process complex auto and bodily injury claims. You’ll review coverage, investigate liabilities, and evaluate damages while supporting client requirements and service expectations.

The role offers a flexible, full-time telecommuter arrangement across multiple states, with a strong benefits package and opportunities for career development.

Qualifikationen

• Five years of claims management experience or equivalent combination of education and experience.
• Bachelor's degree from an accredited college or university preferred.
• Strong oral and written communication, including presentation skills.

Aufgaben

• Processes complex auto bodily injury claims, including coverage evaluation and documenting files.
• Manages litigation on litigated claims and coordinates with vendors.
• Coordinates independent adjusters and reports large claims to excess carriers.
• Develops action plans to meet state deadlines and resolve files promptly.
• Identifies subrogation opportunities and secures salvage when applicable.

Kenntnisse

Claims management

Communication skills

Team player

Microsoft Office

Ausbildung

Bachelor's degree preferred

Professional certification applicable to line of business

Tools

Microsoft Office

Jobbeschreibung

Telecommuter WI

Telecommuter AR

Telecommuter ID

Telecommuter NE

Telecommuter LA

Telecommuter RI

Telecommuter CA

Telecommuter MN

Telecommuter MO

Telecommuter IN

Telecommuter TX

Telecommuter NV

Telecommuter KY

Telecommuter DE

Telecommuter FL

Telecommuter SC

Telecommuter MS

Telecommuter WV

Telecommuter MD

Telecommuter NM

Telecommuter NC

Telecommuter OK

Telecommuter OH

Telecommuter SD

Telecommuter IL

Telecommuter AL

Telecommuter UT

Telecommuter NJ

Telecommuter IA

Telecommuter KS

Telecommuter TN

Telecommuter PA

Telecommuter NH

Telecommuter ME

Telecommuter MI

Telecommuter WA

Telecommuter VA

Telecommuter OR

Telecommuter GA

Telecommuter MT

Telecommuter NY

Telecommuter AZ

Telecommuter MA

Telecommuter VT

Telecommuter ND

Telecommuter WY

Telecommuter CT

Full time

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies

Certified as a Great Place to Work

Fortune Best Workplaces in Financial Services & Insurance

Claims Examiner, Auto | Bodily Injury

PRIMARY PURPOSE OF THE ROLE:

To analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.

ARE YOU AN IDEAL CANDIDATE?

To analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

• 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).

QUALIFICATIONS

Education & Licensing: 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.

TAKING CARE OF YOU

• Flexible work schedule.
• Referral incentive program.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

Work environment requirements include –

Physical: Computer keyboarding

Auditory/visual: Hearing, vision and talking

Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $80,000 to $85,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com