Claims Examiner, Auto – Bodily Injury
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Job Description
Claims Examiner analyzing and processing complex bodily injury auto and commercial transportation claims. Responsible for coverage review, investigations, and liability determination for Sedgwick.
Responsibilities:
- To analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage
- Completing investigations
- Determining liability and evaluating the scope of damages
- Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly
- Responsible for litigation process on litigated claims
- Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims
- Reports large claims to excess carrier(s)
- Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution
- Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage
- Communicates claim action/processing with insured, client, and agent or broker when appropriate
Requirements:
- Five (5) years of claims management experience or equivalent combination of education and experience required
- in-depth knowledge of personal and commercial line auto policies, coverage’s, principles, and laws
- Bachelor's degree from an accredited college or university preferred
- Professional certification as applicable to line of business preferred
- strong oral and written communication, including presentation skills
- PC literate including Microsoft Office products
- ability to work in a team environment
Benefits:
- health insurance
- retirement plans
- paid time off
- flexible work arrangements
- professional development
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