Claims Examiner, Auto | Commercial Bodily Injury | Litigation Required

Sedgwick•Virginia Beach, VA

20h

About The Position

The Claims Examiner analyzes and processes complex bodily injury auto and commercial transportation claims. The role reviews coverage, investigates claims, determines liability, and evaluates damages while ensuring timely resolution in accordance with service expectations, industry best practices, and client requirements. The examiner manages litigated claims, works with vendors and independent adjusters, reports large claims to excess carriers, and communicates claim actions to relevant parties. The position also supports organizational quality programs and performs other duties as assigned. The role requires five years of claims management experience, or an equivalent combination of education and experience, including in-depth knowledge of personal and commercial auto policies, coverage, principles, and laws. A bachelor's degree and applicable professional certification are preferred. The position requires state adjusting licenses as applicable, strong oral and written communication skills, presentation skills, Microsoft Office proficiency, and the ability to work in a team environment. Work involves computer keyboarding, hearing, vision, talking, clear and conceptual thinking, sound judgment and discretion, and meeting deadlines.

Requirements

Five years of claims management experience, or an equivalent combination of education and experience.
In-depth knowledge of personal and commercial line auto policies, coverage, principles, and laws.
Strong oral and written communication skills, including presentation skills.
PC literacy, including Microsoft Office products.
Ability to work in a team environment.
Secure and maintain state adjusting licenses as required for the position.
Ability to perform computer keyboarding and meet the role's auditory, visual, and communication requirements.
Clear and conceptual thinking ability, excellent judgment and discretion, and ability to meet deadlines.

Nice To Haves

Bachelor's degree from an accredited college or university.
Professional certification applicable to the line of business.

Responsibilities

Analyze and process complex auto commercial and personal line claims, including bodily injury, and ensure claim files are properly documented and coded.
Manage the litigation process for litigated claims.
Coordinate vendor management, including use of independent adjusters to assist with claim investigations.
Report large claims to excess carriers.
Develop and maintain action plans to meet state-required contact deadlines and move claims toward prompt, appropriate resolution.
Identify and pursue subrogation and risk-transfer opportunities; secure and dispose of salvage.
Communicate claim actions and processing to insureds, clients, and agents or brokers when appropriate.
Support the organization's quality programs.
Perform other duties as assigned.