Remote Bodily Injury Claims Examiner

Sedgwick; Charleston (WV); Remote; USD 80,000 - 85,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development opportunities

Medical benefits

Job summary

Sedgwick is seeking a Claims Examiner - Bodily Injury to analyze and process complex auto bodily injury claims, reviewing coverage, investigating liability, and evaluating damages.

This full-time telecommuter role offers flexible schedule and a strong emphasis on accuracy, collaboration with clients and carriers, and adherence to client requirements. Five years of claims experience and licensure are required.

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

MS Office

Education

Bachelor's degree

Professional certification

Tools

MS Office

Job description

Sedgwick is seeking a Claims Examiner - Bodily Injury to analyze and process complex auto bodily injury claims, reviewing coverage, investigating liability, and evaluating damages.

This full-time telecommuter role offers flexible schedule and a strong emphasis on accuracy, collaboration with clients and carriers, and adherence to client requirements. Five years of claims experience and licensure are required.