Remote Auto Claims Examiner — Bodily Injury Expert

Sedgwick; Boston (MA); Remote; USD 80,000 - 85,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401k and matching

Paid time off

Disability and life insurance

Employee assistance

Flexible spending account

Other voluntary benefits

Job summary

Sedgwick is seeking a claims professional to analyze and process complex auto bodily injury and commercial transportation claims from a US telecommuter location. You will review coverage, investigate liability, evaluate damages, and work toward timely resolution in line with client requirements.

The ideal candidate has five years of claims management experience with auto policies, a bachelor's degree (preferred), and strong communication and Microsoft Office skills.

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.
• 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.

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

Presentation skills

Teamwork

PC literacy

Microsoft Office

Education

Bachelor's degree (preferred)

Tools

Microsoft Office

Job description

Sedgwick is seeking a claims professional to analyze and process complex auto bodily injury and commercial transportation claims from a US telecommuter location. You will review coverage, investigate liability, evaluate damages, and work toward timely resolution in line with client requirements.

The ideal candidate has five years of claims management experience with auto policies, a bachelor's degree (preferred), and strong communication and Microsoft Office skills.