Claims Examiner, Bodily Injury, Lit Required, Auto
Sedgwick
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $75,000 - $80,000 per year
About the role
- Analyze and process complex auto bodily injury claims by reviewing coverage
- Complete investigations, determine liability, and evaluate the scope of damages
- Coordinate vendor management, including the use of independent adjusters to assist in investigations
- Report large claims to excess carriers
- Develop and maintain action plans to ensure state required contact deadlines are met
- Identify and pursue subrogation and risk transfer opportunities; secure and dispose of salvage
- Communicate 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
- 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
- Knowledge of medical terminology for claim evaluation and Medicare compliance
- Knowledge of appropriate application for deductibles, sub-limits, SIR’s, carrier and large deductible programs
- PC literate, including Microsoft Office products
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 & Tools
claims managementinvestigationsliability determinationdamage evaluationsubrogationrisk transfermedical terminologydeductibles applicationlarge deductible programsMedicare compliance
Soft Skills
communicationcoordinationorganizational skillsaction plan development
Certifications
professional certification