Claims Examiner, Auto | Bodily Injury

Sedgwick • Telecommuter WI, NV

3d

About The Position

The Claims Examiner analyzes and processes complex bodily injury auto and commercial transportation claims. The role reviews coverage, conducts investigations, determines liability, evaluates damages, and manages claims toward timely resolution in accordance with service expectations, industry best practices, and client requirements. Responsibilities also include handling litigated claims, coordinating vendors and independent adjusters, reporting large claims to excess carriers, meeting state contact deadlines, pursuing subrogation and risk transfer opportunities, and communicating claim activity with relevant parties. The position 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.
• PC literacy, including proficiency with 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-line auto claims, including bodily injury claims, and ensure 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.

Benefits

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

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed