Claims Examiner, Auto | Commercial Bodily Injury

Sedgwick•Virginia Beach, MA

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, evaluates damages, and supports timely resolution in accordance with service expectations, industry best practices, and client requirements. The examiner also supports organizational quality programs and performs other duties as assigned.

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.
Ability to meet deadlines; clear and conceptual thinking; excellent judgment and discretion.

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 claims, and ensure claim files are properly documented and coded.
Manage the litigation process for 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 and 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.