Claims Examiner, Auto | Commercial Bodily Injury

Sedgwick; Milwaukee (WI); Remote; USD 63,000 - 77,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) and matching

Job summary

Sedgwick is seeking a Claims Examiner, Auto | Commercial Bodily Injury, to analyze and process complex bodily injury auto and commercial transportation claims. Responsibilities include reviewing coverage, investigating liability, and evaluating damages to ensure timely resolution.

The role requires handling complex claims, managing litigation, coordinating independent adjusters, and reporting large claims while maintaining client requirements and service expectations.

Qualifications

• Five years of claims management experience or equivalent combination of education and experience.
• Bachelor's degree preferred; professional certification preferred.
• Strong oral and written communication; proficient with PC and Office products.
• State adjusting licenses as required for the position.

Responsibilities

• Process complex auto, commercial and personal line claims with proper documentation.
• Manage litigation process on litigated claims.
• Coordinate vendor management and independent adjusters for investigations.
• Report large claims to excess carriers and maintain contact with insured and agents.
• Develop action plans to meet deadlines and resolve files promptly.
• Identify subrogation opportunities and dispose of salvage when applicable.
• Communicate claim actions with clients, insured and brokers.
• Support the organization's quality programs and duties as assigned.

Skills

Claims management

Communication

Microsoft Office

Teamwork

Education

Bachelor's degree preferred

Professional certification preferred

Tools

Microsoft Office

Job description

Seven Hills, OH

Telecommuter FL

Virginia Beach, VA

Telecommuter WI

Telecommuter NJ

Telecommuter MD

Telecommuter NC

Telecommuter TX

Telecommuter GA

Telecommuter OH

Telecommuter MA

Full time

R80461

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 | Commercial 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 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 $70,000. 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.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

at any time.

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

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

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