Remote Auto Bodily Injury Claims Examiner

Sedgwick; Nashville (TN); Remote; USD 65,000 - 95,000; Full time

Job summary

Sedgwick is seeking a Claims Examiner for Auto Bodily Injury who will analyze and process complex auto bodily injury claims, review coverage, investigate liability, and evaluate damages. This role supports client requirements and ensures timely resolutions with a focus on quality and compliance.

The ideal candidate has five years in claims management, strong communication, and licenses to operate in the relevant states.

Qualifications

• Five (5) years of claims management experience or equivalent combination of education and experience.
• In-depth knowledge of personal and commercial 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.
• Strong oral and written communication, PC literate including Microsoft Office products, and ability to work in a team environment.

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

Communication skills

Teamwork

Microsoft Office

State licenses

Auto claims knowledge

Education

Bachelor's degree preferred

Professional certification preferred

Job description

Sedgwick is seeking a Claims Examiner for Auto Bodily Injury who will analyze and process complex auto bodily injury claims, review coverage, investigate liability, and evaluate damages. This role supports client requirements and ensures timely resolutions with a focus on quality and compliance.

The ideal candidate has five years in claims management, strong communication, and licenses to operate in the relevant states.