Claims Examiner, Auto | Bodily Injury

Sedgwick•New York, NY
•$80,000 - $85,000

About The Position

The Claims Examiner analyzes and processes complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability, and evaluating the scope of damages. The role manages auto bodily injury claims on behalf of clients, ensuring timely resolution consistent with service expectations, industry best practices, and client requirements. The position also supports the organization's quality programs.

Requirements

  • Five years of claims management experience, or an equivalent combination of education and experience.
  • In-depth knowledge of personal and commercial auto policies, coverage, principles, and laws.
  • Strong oral and written communication skills, including presentation skills.
  • Computer literacy, including Microsoft Office products.
  • Ability to work in a team environment.
  • Secure and maintain state adjusting licenses as required for the position.

Nice To Haves

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

Responsibilities

  • Process complex commercial and personal auto claims, including bodily injury, and ensure claim files are properly documented and coded.
  • Manage the litigation process on litigated claims.
  • Coordinate vendor management, including using 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 with insureds, clients, and agents or brokers when appropriate.
  • Support the organization's quality programs.
  • Perform other duties as assigned.

Benefits

  • Flexible work schedule
  • Referral incentive program
  • Career development and promotional growth opportunities
  • Medical, dental, and vision benefits
  • 401(k) available on day one
  • 401(k) matching
  • Paid time off
  • Disability insurance
  • Life insurance
  • Employee assistance
  • Flexible spending account or health savings account
  • Additional voluntary benefits
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