Claims Examiner – Auto, Bodily Injury

Sedgwick

Claims Examiner analyzing and processing complex bodily injury auto claims for clients in the United States. Evaluating coverage, managing damages, and ensuring timely resolution within service expectations.

Posted 6/9/2026full-timeRemote • Texas • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

Analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability, and evaluating the scope of damages
Analyze complex auto bodily injury claims on behalf of clients
Process complex auto commercial and personal line claims, including bodily injury
Ensure claim files are properly documented and coded correctly
Responsible for litigation process on litigated claims
Coordinate vendor management, including use of independent adjusters
Report large claims to excess carrier(s)
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
Perform other duties as assigned
Support 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
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
Ability to secure and maintain the State adjusting licenses as required for the position

Benefits

Comp & perks

Flexible work arrangements
Professional development opportunities

ATS Keywords

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Applicant Tracking System Keywords

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

Hard Skills & Tools

claims managementinvestigationsliability determinationdamage evaluationvendor managementsubrogationrisk transferdocumentationcodinglitigation process

Soft Skills

oral communicationwritten communicationpresentation skills

Certifications

State adjusting licensesprofessional certification