Claims Examiner, Auto, Bodily Injury

Sedgwick

Claims Examiner managing complex bodily injury auto claims for Sedgwick. Analyzing coverage, liability, and damages while ensuring timely resolution and adherence to best practices.

Posted 5/6/2026full-timeRemote • North Carolina, Ohio, Texas, Virginia, Wisconsin • 🇺🇸 United StatesMid-LevelSenior💰 $75,000 - $85,000 per yearWebsite

About the role

Key responsibilities & impact

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.
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).

Requirements

What you’ll need

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
strong oral and written communication, including presentation skills
PC literate including Microsoft Office products
Secure and maintain the State adjusting licenses as required for the position

Benefits

Comp & perks

medical
dental
vision
401k and matching
PTO
disability and life insurance
employee assistance
flexible spending or health savings account
other additional voluntary benefits

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims managementinvestigationsliability determinationdamage evaluationsubrogationrisk transfervendor managementlitigation processfile documentationcoding

Soft Skills

oral communicationwritten communicationpresentation skillsorganizational skillsinterpersonal skills

Certifications

State adjusting licensesprofessional certification