Senior Auto Liability Claims Examiner - Bodily Injury

Sedgwick; Rhode Island; On-site; USD 70,000 - 80,000; Full time

Job summary

Sedgwick is seeking a Claims Examiner for Auto, General Liability and Bodily Injury who will investigate, evaluate, negotiate, and resolve complex claims with a focus on timely resolution and cost containment. You will manage high-exposure claims, coordinate with defense counsel, and maintain proactive client communication.

Qualifications include five years of claims handling experience, strong analytical and negotiation skills, and a bachelor’s degree or higher.

Qualifications

• Five years of claims handling experience, or an equivalent combination of education and relevant experience.
• Experience handling complex general liability claims preferred.
• Litigation management experience strongly preferred.
• Bachelor's degree from an accredited college or university preferred.
• Industry certifications relevant to the line of business are preferred.

Responsibilities

• Analyze and manage complex or technically challenging general liability claims from inception through resolution.
• Conduct thorough investigations to determine liability, damages, and claim exposure.
• Develop and execute strategic claim action plans to drive timely and appropriate claim outcomes.
• Assess liability and negotiate settlements within assigned authority limits.
• Calculate, establish, and maintain appropriate claim reserves throughout the life of the claim.
• Authorize and process claim payments and adjustments within delegated authority.
• Ensure compliance with applicable laws, regulations, and client-specific requirements.
• Prepare and submit required state filings within statutory deadlines.
• Report claims to excess carriers and respond promptly to requests for information or direction.
• Manage litigated claims through effective collaboration with defense counsel and external partners.
• Coordinate vendor referrals for investigations, medical reviews, surveillance, and litigation management services.
• Utilize cost-containment strategies and strategic vendor partnerships to help reduce overall claim costs.
• Pursue and manage claim recoveries, including subrogation and applicable offsets.
• Maintain proactive communication with claimants, clients, attorneys, and other stakeholders.
• Build and maintain strong client relationships through professional and responsive service.
• Ensure claim files are accurately documented and coded in accordance with company standards.
• Escalate complex issues and high-exposure matters to leadership as appropriate.
• Perform other duties as assigned.

Skills

General liability claims

Negotiation

Investigation

Analytical thinking

Communication skills

Customer service

Microsoft Office

Claims management systems

Education

Bachelor's degree preferred

Industry certifications

Tools

Claims management systems

Microsoft Office

Job description

Sedgwick is seeking a Claims Examiner for Auto, General Liability and Bodily Injury who will investigate, evaluate, negotiate, and resolve complex claims with a focus on timely resolution and cost containment. You will manage high-exposure claims, coordinate with defense counsel, and maintain proactive client communication.

Qualifications include five years of claims handling experience, strong analytical and negotiation skills, and a bachelor’s degree or higher.