Remote Auto Bodily Injury Claims Examiner

Sedgwick; Santa Fe (NM); On-site; USD 70,000 - 80,000; Full time

Benefits offered by this job

Medical, dental, vision

401(k) and matching

PTO and flexible spending

Job summary

Sedgwick is seeking a Claims Examiner for auto and bodily injury claims, offering a remote US telecommuting role. You will analyze coverage, investigate liability, document files, and manage damages to drive timely resolutions for diverse clients.

The ideal candidate has 5+ years of claims management experience, strong communication, and licensing readiness. A comprehensive benefits package and growth opportunities are available.

Qualifications

• Five (5) years of claims management experience or equivalent combination of education and experience.
• In-depth knowledge of personal and commercial line auto policies, coverage, 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).

Skills

Communication skills

Team collaboration

Microsoft Office

Licensing knowledge

Education

Bachelor's degree preferred

Professional certification preferred

Job description

Sedgwick is seeking a Claims Examiner for auto and bodily injury claims, offering a remote US telecommuting role. You will analyze coverage, investigate liability, document files, and manage damages to drive timely resolutions for diverse clients.

The ideal candidate has 5+ years of claims management experience, strong communication, and licensing readiness. A comprehensive benefits package and growth opportunities are available.