Claims Examiner, Auto | Commercial Bodily Injury

Sedgwick•Virginia Beach, VA
•$70,000 - $75,000

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 within service expectations, industry best practices, and client requirements. It also processes complex commercial and personal auto claims, including litigated matters, and 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.
  • Ability to meet deadlines; clear and conceptual thinking; excellent judgment and discretion.
  • Ability to perform computer keyboarding and to meet hearing, vision, and talking requirements.

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 files are properly documented and coded.
  • Manage litigation processes 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 files 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

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • 401(k)
  • 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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