Claims Examiner, Commercial Trucking – Bodily Injury

Sedgwick

Claims Examiner processing complex auto and commercial transportation claims at Sedgwick. Analyzing coverage, liability, and damages for effective claims management.

Posted 5/14/2026full-timeRemote • Texas • 🇺🇸 United StatesMid-LevelSenior💰 $80,000 - $85,000 per yearWebsite

About the role

Key responsibilities & impact

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

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

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 transfermedical terminologydeductibles applicationlarge deductible programs

Soft Skills

strong oral communicationstrong written communicationpresentation skills

Certifications

State adjusting licensesprofessional certification