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Auto Liability Bodily Injury Claims Examiner
2 months ago
We are seeking a skilled Auto Liability Bodily Injury Claims Examiner to join our team at Sedgwick. As a key member of our claims team, you will be responsible for analyzing and processing complex auto and commercial transportation bodily injury claims.
Key Responsibilities- Process complex auto commercial and personal line claims, ensuring accurate documentation and coding.
- Conduct thorough investigations, determine liability, and evaluate damages.
- Coordinate vendor management, including independent adjusters, to assist in claim investigations.
- Report large claims to excess carriers and develop action plans to meet state required contact deadlines.
- Identify and pursue subrogation and risk transfer opportunities, secure and dispose of salvage.
- Communicate claim actions and processing with insured, client, and agent or broker as needed.
- Bachelor's degree from an accredited college or university preferred.
- Professional certification applicable to the line of business preferred.
- Secure and maintain state adjusting licenses as required for the position.
- Five (5) years of claims management experience or equivalent combination of education and experience.
- In-depth knowledge of personal and commercial line auto policies, coverages, principles, and laws.
- Knowledge of medical terminology for claim evaluation and Medicare compliance.
- Strong oral and written communication, including presentation skills.
- PC literate, including Microsoft Office products.
- Strong organizational and interpersonal skills.
- Ability to work in a team environment and meet or exceed service expectations.
This role requires a clear and conceptual thinking ability, excellent judgment, and strong problem-solving skills. The successful candidate will be able to handle work-related stress, prioritize tasks, and meet deadlines.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. We offer a comprehensive benefits package, including medical, dental, vision, 401k, and matching, PTO, disability, and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
