Claims Examiner, Auto | Bodily Injury

Sedgwick Claims Management Services Ltd; United States; Remote; USD 80,000 - 85,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401k and matching

PTO

Disability and life insurance

Employee assistance

Flexible spending or health savings

Job summary

Sedgwick, a global risk and claims solutions provider, is hiring an Insurance Claims Examiner, Auto | Bodily Injury. You will analyze and process complex bodily injury auto and commercial transportation claims, review coverage, conduct investigations, determine liability, and evaluate damages.

The ideal candidate has solid communication skills, strong PC proficiency, and state adjuster licensing as required. Bachelor's degree is preferred.

Qualifications

• Five years of claims management experience required or equivalent.
• In-depth knowledge of auto liability policies and coverage principles.
• Licensing as applicable; adjuster license preferred where required.

Responsibilities

• Processes complex auto, commercial and personal line claims, including bodily injury, with proper documentation.
• Responsible for litigation process on litigated claims.
• Coordinates vendor management and independent adjusters for investigations.
• Reports large claims to excess carriers.
• Develops action plans to meet state contact deadlines and resolve files promptly.
• Identifies subrogation and risk transfer opportunities; secures salvage.
• Communicates claim actions with insured, client, and broker where appropriate.
• Supports the organization's quality programs.

Skills

Communication skills

Microsoft Office

Teamwork

State adjuster licenses

Education

Bachelor's degree preferred

Job description

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

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.

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.

COMPENSATION

For the jurisdiction noted in this job posting only, the range of starting pay for this role is $80,000 to $85,000 per year.

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.

BENEFITS

• medical
• dental
• vision
• 401k and matching
• PTO
• disability and life insurance
• employee assistance
• flexible spending or health savings account
• other additional voluntary benefits

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

Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.

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