Remote Auto Bodily Injury Claims Examiner

Sedgwick; Fayetteville (NC); Remote; USD 65,000 - 90,000; Full time

Job summary

Sedgwick seeks a skilled claims professional to analyze auto and general liability claims, determine exposure, and work toward timely resolutions. This remote, full-time role involves handling high-exposure claims, negotiating settlements, and coordinating subrogation when applicable.

The ideal candidate will have at least five years of claims management experience, strong communication skills, and the ability to work with clients and legal teams across states.

Qualifications

• 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.
• 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

• 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.

Skills

Strong communication

Teamwork

Microsoft Office

Education

Bachelor's degree

Professional certification (preferred)

Tools

Microsoft Office

Job description

Sedgwick seeks a skilled claims professional to analyze auto and general liability claims, determine exposure, and work toward timely resolutions. This remote, full-time role involves handling high-exposure claims, negotiating settlements, and coordinating subrogation when applicable.

The ideal candidate will have at least five years of claims management experience, strong communication skills, and the ability to work with clients and legal teams across states.