Remote Auto Bodily Injury Claims Examiner

Sedgwick; Knoxville (TN); Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Sedgwick culture

Job summary

Sedgwick is seeking a Claims Examiner, Auto | Bodily Injury to analyze and process complex auto bodily injury claims, review coverage, investigate liability, and evaluate damages for timely resolutions aligned with client requirements.

The role requires five years of claims management experience, knowledge of auto policies, and licensing; it offers opportunities to coordinate with vendors, manage litigation, and contribute to quality programs across diverse portfolios.

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.
• Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.
• Secure and maintain the State adjusting licenses as required for the position.

Responsibilities

• 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).
• Travels as required.

Skills

Claims management

Auto Bodily Injury

Communication skills

MS Office

Licensing knowledge

Education

Bachelor's degree preferred

State adjusting licenses

Job description

Sedgwick is seeking a Claims Examiner, Auto | Bodily Injury to analyze and process complex auto bodily injury claims, review coverage, investigate liability, and evaluate damages for timely resolutions aligned with client requirements.

The role requires five years of claims management experience, knowledge of auto policies, and licensing; it offers opportunities to coordinate with vendors, manage litigation, and contribute to quality programs across diverse portfolios.