Claims Examiner, Auto | Bodily Injury

Sedgwick; Town of Florida (NY); On-site; USD 70,000 - 90,000; Full time

Job summary

Sedgwick is seeking an experienced claims manager in the Town of Florida, NY. The primary responsibility involves analyzing complex auto and general liability claims, negotiating settlements, and managing litigation processes. Candidates should have at least five years of claims management experience, strong communication skills, and a bachelor's degree from an accredited institution. This position offers a dynamic work environment within a leading organization.

Qualifications

• Five years of claims management experience or equivalent combination of education and experience.
• In-depth knowledge of personal and commercial line auto policies.
• Secure and maintain State adjusting licenses as required for the position.

Responsibilities

• Analyzes and processes complex general liability claims.
• Negotiates settlement of claims within designated authority.
• Manages the litigation process to ensure timely resolution.

Skills

Strong oral and written communication

PC literate including Microsoft Office products

Ability to work in a team environment

Education

Bachelor's degree from an accredited college or university

Professional certification as applicable

Job description

Primary Purpose of the Role

To analyze complex or technically difficult auto and general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.

Essential Responsibilities

• Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
• Assesses liability and resolves claims within evaluation.
• Negotiates settlement of claims within designated authority.
• Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
• Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level.
• Prepares necessary state filings within statutory limits.
• Manages the litigation process; ensures timely and cost effective claims resolution.
• Coordinates vendor referrals for additional investigation and/or litigation management.
• Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
• Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
• Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
• Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
• Ensures claim files are properly documented and claims coding is correct.
• Refers cases as appropriate to supervisor and management.
• 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.

Work Environment Requirements

Physical: Computer keyboarding

Auditory/visual: Hearing, vision and talking

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

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