Sedgwick

Claims Examiner, Bodily Injury – Auto

Sedgwick

full-time

Posted on:

Location Type: Remote

Location: FloridaOhioUnited States

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Salary

💰 $70,000 - $75,000 per year

About the role

  • To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.
  • 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.

Requirements

  • Bachelor's degree from an accredited college or university preferred
  • Professional certification as applicable to line of business preferred
  • Secure and maintain the State adjusting licenses as required for the position
  • 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
  • Strong oral and written communication, including presentation skills
  • PC literate, including Microsoft Office products
  • Organization skills
  • Interpersonal skills
  • Negotiation skills
  • Ability to work in a team environment
Benefits
  • medical
  • dental
  • vision
  • 401k and matching
  • PTO
  • disability and life insurance
  • employee assistance
  • flexible spending or health savings account
  • other additional voluntary benefits

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
claims managementinvestigationsliability determinationdamage evaluationsubrogationrisk transfersalvage disposaldocumentationcoding
Soft skills
oral communicationwritten communicationpresentation skillsorganizationinterpersonal skillsnegotiationteamwork
Certifications
State adjusting licensesprofessional certification