Claims Examiner, Auto | Bodily Injury

Sedgwick•Telecommuter CT, CT

About The Position

The Claims Examiner analyzes and processes complex bodily injury auto and commercial transportation claims by reviewing coverage, conducting investigations, determining liability, and evaluating the scope of damages. The role manages claims for timely resolution in accordance with service expectations, industry best practices, and client requirements. It includes handling complex commercial auto bodily injury claims, managing litigation as needed, coordinating vendors and independent adjusters, reporting large claims to excess carriers, and maintaining action plans to meet state contact deadlines and advance claims toward appropriate resolution. The examiner also identifies subrogation and risk-transfer opportunities, handles salvage, communicates claim activity with relevant parties, and supports organizational quality programs. Sedgwick offers a comprehensive benefits package.

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.
Ability to secure and maintain state adjusting licenses as required for the position.
Ability to meet deadlines, exercise excellent judgment and discretion, and think clearly and conceptually.

Nice To Haves

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

Responsibilities

Process complex commercial-line auto claims, including bodily injury, and ensure claim files are properly documented and coded.
Manage the litigation process on litigated claims as needed.
Coordinate vendor management, including engaging 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 the insured, client, and agent or broker when appropriate.
Support the organization's quality programs.
Perform other duties as assigned.