Claims Examiner, Auto | Bodily Injury

Job summary

The Claims Examiner is responsible for analyzing and processing complex bodily injury auto and commercial transportation claims by investigating liability and evaluating damages. They also manage the litigation process, coordinate vendor management, and ensure claim files are properly documented and coded.

Job details

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, Auto | Bodily Injury PRIMARY PURPOSE OF THE ROLE: 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. ARE YOU AN IDEAL CANDIDATE? To analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. ESSENTIAL RESPONSIBLITIES MAY INCLUDE 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. Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required to include 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. Skills: strong oral and written communication, including presentation skills, PC literate including Microsoft Office products, and ability to work in a team environment. Secure and maintain the State adjusting licenses as required for the position. TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. Work environment requirements include – Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $80,000 to $85,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

What you’ll do

The Claims Examiner is responsible for analyzing and processing complex bodily injury auto and commercial transportation claims by investigating liability and evaluating damages. They also manage the litigation process, coordinate vendor management, and ensure claim files are properly documented and coded.

Requirements

Candidates must have five years of claims management experience with in-depth knowledge of personal and commercial auto policies and laws. A bachelor's degree and professional certifications are preferred, along with the ability to secure and maintain state adjusting licenses.

Benefits

• Medical
• Dental
• Vision
• 401k
• 401k matching
• Paid time off
• Disability insurance
• Life insurance
• Employee assistance program
• Flexible spending account
• Health savings account
• Flexible work schedule
• Referral incentive program

Listed skills

• Microsoft Office · Preferred
• Communication Skills · Preferred

Other relevant skills

Identified from the job description. Confirm important requirements above.

• Claims management
• Bodily injury claims
• Liability investigation
• Coverage analysis
• Litigation management
• Vendor management
• Subrogation
• Risk transfer
• Microsoft Office
• Communication skills
• Presentation skills
• Analytical skills
• Conceptual thinking
• Judgment
• Discretion
• Presentations
• Management
• Financial Services
• Writing
• Vendor Management
• Lawsuits
• Investigation
• Teamwork
• Ability To Meet Deadlines
• Workplace Inclusivity

Job areas

• Finance & Accounting
• Legal
• Transportation
• Customer Service & Support
• Bodily Injury Claims Examiner
• Claims Examiner (General)
• Valuers and Loss Assessors
• Claims Adjusters, Examiners, and Investigators

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