Remote Bodily Injury Claims Examiner

Sedgwick; Miami (FL); Remote; USD 80,000 - 85,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development opportunities

Comprehensive benefits

Job summary

Sedgwick is seeking an experienced claims professional to analyze and process complex auto bodily injury and commercial transportation claims. The role focuses on coverage review, liability investigations, and evaluating damages, with emphasis on timely resolution and client requirements.

Ideal candidates will have five years in claims management, strong communication skills, and licensure as required. Sedgwick offers flexible schedules, growth opportunities, and a comprehensive benefits package.

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.

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

Teamwork

Microsoft Office

Education

Bachelor's degree preferred

Professional certification preferred

Tools

Microsoft Office

Job description

Sedgwick is seeking an experienced claims professional to analyze and process complex auto bodily injury and commercial transportation claims. The role focuses on coverage review, liability investigations, and evaluating damages, with emphasis on timely resolution and client requirements.

Ideal candidates will have five years in claims management, strong communication skills, and licensure as required. Sedgwick offers flexible schedules, growth opportunities, and a comprehensive benefits package.