S
Claims Examiner - Auto
Contract type
Ongoing
Work mode
Remote
Experience
Senior · 5+ years
Job description
A Claims Examiner - Auto role at Sedgwick focused on analyzing and processing complex auto and commercial transportation claims, including reviewing coverage, investigating, determining liability and evaluating damages.
At a glance
- Work mode
- Remote
What you'll do
- 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)
- Travels as required
What we're looking for
- 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
- 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
- Strong organizational skills
- Strong interpersonal skills
- Good negotiation skills
- Ability to work in a team environment
- Ability to meet or exceed Service Expectations
- Secure and maintain the State adjusting licenses as required for the position
Nice to have
- Bachelor's degree from an accredited college or university preferred
- Professional certification as applicable to line of business preferred
Apply
Direct apply at Sedgwick
Opens the job posting at Sedgwick
About Sedgwick
Sedgwick has 33,000 colleagues who help people around the world who are facing the unexpected.
Key facts
- 33,000 colleagues
What they value
- Caring culture
- Work-life balance