Remote Bodily Injury Claims Examiner

Sedgwick; Des Moines (IA); Remote; USD 80,000 - 85,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development

Comprehensive benefits

Job summary

Sedgwick is seeking a claims examiner to analyze and process complex bodily injury auto and commercial transportation claims. You will review coverage, complete investigations, determine liability, and evaluate damages to support timely resolutions for clients.

In this remote, full-time role, you’ll handle complex auto bodily injury claims, coordinate with insureds and agents, and contribute to quality programs while meeting client requirements and industry best practices.

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

Oral and written communication

Teamwork

MS Office

Presentation skills

Education

Bachelor's degree preferred

Professional certification

Job description

Sedgwick is seeking a claims examiner to analyze and process complex bodily injury auto and commercial transportation claims. You will review coverage, complete investigations, determine liability, and evaluate damages to support timely resolutions for clients.

In this remote, full-time role, you’ll handle complex auto bodily injury claims, coordinate with insureds and agents, and contribute to quality programs while meeting client requirements and industry best practices.