Remote Bodily Injury Claims Examiner

Sedgwick; Cincinnati (OH); Remote; USD 80,000 - 85,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development

Benefits: medical, dental, vision, 401

Job summary

Sedgwick is seeking a Claims Examiner - Bodily Injury to analyze and process complex auto and commercial transportation claims by reviewing coverage, investigating liability, and evaluating damages. The role requires experience with personal and commercial auto policies and strong communication with clients and insureds.

The ideal candidate will manage deadlines, coordinate with vendors, and pursue subrogation and risk transfer opportunities while maintaining quality standards and client

Qualifications

• 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.

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

Claims management

Communication

Teamwork

Microsoft Office

Education

Bachelor’s degree

Tools

Microsoft Office

Job description

Sedgwick is seeking a Claims Examiner - Bodily Injury to analyze and process complex auto and commercial transportation claims by reviewing coverage, investigating liability, and evaluating damages. The role requires experience with personal and commercial auto policies and strong communication with clients and insureds.

The ideal candidate will manage deadlines, coordinate with vendors, and pursue subrogation and risk transfer opportunities while maintaining quality standards and client