Sedgwick

Claims Examiner, Auto | Bodily Injury

Sedgwick$80K — $85K *
US-AnywhereRemote in United States
Finance & Insurance
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5-7 years of claims management experience required, with a strong focus on bodily injury cases.
  • In-depth knowledge of personal and commercial auto policies and relevant legal principles.
  • Bachelor's degree preferred, along with professional certifications related to claims management.
  • Strong communication skills, both oral and written, with the ability to present effectively.
  • Proficient in Microsoft Office and capable of teamwork, demonstrating effective collaboration skills.

Responsibilities

  • Analyze and process complex bodily injury claims for auto and commercial transportation.
  • Manage the litigation process for claims that are in litigation.
  • Coordinate with independent adjusters and other vendors to support investigations.
  • Report significant claims to excess carriers for further assessment.
  • Develop action plans to adhere to state deadlines and achieve timely resolutions.
  • Identify subrogation opportunities to recover costs and manage salvage disposition.
  • Maintain clear communication with insured clients, agents, and brokers throughout the claim process.

Benefits

  • Comprehensive medical, dental, and vision insurance.
  • 401(k) plan with matching contributions.
  • Paid time off (PTO) for vacation and personal needs.
  • Disability and life insurance coverage.
  • Employee assistance programs for support and counseling services.
  • Flexible spending accounts (FSA) or health savings accounts (HSA) available.
Full Job Description
Claims Examiner, Auto | Bodily Injury Claims Examiner, Auto | BI PRIMARY PURPOSE OF THE ROLE: To analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. ARE YOU AN IDEAL CANDIDATE? To analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. ESSENTIAL RESPONSIBLITIES MAY INCLUDE • 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). QUALIFICATIONS Education & Licensing: 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. Work environment requirements include - Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $80,000 to $85,000 per year. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

About Sedgwick

Sedgwick is a global provider of insurance, risk management, and related services. The company was founded in 1969 and is headquartered in Boston, Massachusetts. Sedgwick offers a range of services to clients in various industries, including property and casualty insurance, workers' compensation, and disability management. The company has a team of experienced professionals who work closely with clients to develop customized solutions that meet their specific needs. Sedgwick has a reputation for delivering high-quality service and has been recognized for its excellence in the insurance industry.
Learn more about Sedgwick
Size
10,000 employees
Industry
Founded
1969

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