Claims Examiner, Bodily Injury, Commercial Trucking

Sedgwick

Claims Examiner processing complex bodily injury and commercial trucking claims for Sedgwick, a global risk and claims administration partner. Investigating coverage, liability, damages, litigation, vendors, and resolution strategies.

Posted 8/12/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $80,000 - $85,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in analyzing and processing complex auto and commercial transportation claims, with a strong focus on liability determination, coverage evaluation, and effective communication with stakeholders. Proficient in managing litigation processes and ensuring compliance with state requirements and deadlines.

Highest-signal resume keywords

Claims Management ExperienceKnowledge of Personal and Commercial Line Auto PoliciesMedical Terminology for Claim EvaluationStrong Oral and Written CommunicationState Adjusting Licenses

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AnalysisLiability DeterminationCoverage EvaluationSubrogation IdentificationVendor ManagementDocumentation and CodingLitigation ManagementDeadline ManagementMicrosoft Office ProficiencyComputer Keyboarding

Soft Skills

Excellent JudgmentClear Thinking AbilityDiscretionPresentation Skills

Certifications & Qualifications

State Adjusting LicensesProfessional Certification

Industry Keywords

Auto ClaimsCommercial Transportation ClaimsBodily Injury ClaimsMedicare ComplianceRisk Transfer Opportunities

About the role

Key responsibilities & impact

Analyze and process complex auto and commercial transportation claims
Review coverage, complete investigations, determine liability, and evaluate the scope of damages
Process complex auto commercial and personal line claims, including bodily injury
Ensure claim files are properly documented and coded correctly
Manage the litigation process on litigated claims
Coordinate vendor management, including independent adjusters assisting claim investigations
Report large claims to excess carriers
Develop and maintain action plans to meet state-required contact deadlines and move files toward prompt, appropriate resolution
Identify and pursue subrogation and risk transfer opportunities
Secure and dispose of salvage
Communicate claim action and processing with insureds, clients, and agents or brokers when appropriate

Requirements

What you’ll need

Five (5) years of claims management experience, or equivalent combination of education and experience, required
In-depth knowledge of personal and commercial line auto policies, coverages, principles, and laws
Knowledge of medical terminology for claim evaluation and Medicare compliance
Knowledge of appropriate application for deductibles, sub-limits, SIRs, carrier, and large deductible programs
Strong oral and written communication, including presentation skills
PC literacy, including Microsoft Office products
Secure and maintain state adjusting licenses as required for the position
Computer keyboarding ability
Hearing, vision, and talking abilities
Clear and conceptual thinking ability
Excellent judgment and discretion
Ability to meet deadlines
Bachelor's degree from an accredited college or university preferred
Professional certification as applicable to line of business preferred

Benefits

Comp & perks

Medical insurance
Dental insurance
Vision insurance
401k and matching
PTO
Disability insurance
Life insurance
Employee assistance
Flexible spending or health savings account
Other additional voluntary benefits
Work-life balance
Caring culture
Equal opportunity workplace
Drug-free workplace