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Bodily Injury Claims Adjuster
2 months ago
Overview: At Sedgwick, we prioritize the well-being of our team members, fostering a culture that values care and support. A career with us means embracing flexibility and dedicating time to what truly matters in your life. You will have the chance to engage in meaningful work daily, with comprehensive support for your mental, physical, financial, and professional aspirations. We are committed to your growth and skill enhancement in a diverse and inclusive environment.
Purpose: As a Claims Analyst, your primary responsibility will be to evaluate and manage intricate auto and commercial transportation claims. This involves assessing coverage, conducting thorough investigations, determining liability, and appraising the extent of damages.
Key Responsibilities:
- Manage complex auto and commercial claims, ensuring accurate documentation and coding.
- Oversee the litigation process for claims that are in dispute.
- Coordinate with vendors, including independent adjusters, to facilitate claim investigations.
- Report significant claims to excess carriers as necessary.
- Develop action plans to meet state-mandated contact deadlines and ensure timely resolution of claims.
- Identify subrogation and risk transfer opportunities; manage salvage processes.
- Communicate effectively with insured parties, clients, and agents regarding claim status and actions.
Additional Duties:
- Perform other assigned tasks as needed.
- Support the organization's quality assurance initiatives.
- Travel as required for claim investigations.
Qualifications:
Education: A bachelor’s degree from an accredited institution is preferred. Relevant professional certifications are also advantageous. State adjusting licenses must be secured and maintained as required.
Experience: A minimum of five years in claims management or a comparable combination of education and experience is required, with a strong understanding of personal and commercial auto policies, coverages, principles, and applicable laws.
Skills:
- Extensive knowledge of personal and commercial auto policies and regulations.
- Familiarity with medical terminology for effective claim assessment and Medicare compliance.
- Understanding of deductibles, sub-limits, and large deductible programs.
- Excellent oral and written communication skills, including presentation abilities.
- Proficient in Microsoft Office and other relevant software.
- Strong organizational and interpersonal skills.
- Effective negotiation capabilities.
- Able to thrive in a collaborative team environment.
- Commitment to meeting or exceeding service expectations.
Work Environment: Reasonable accommodations will be considered when applicable. The role requires clear thinking, sound judgment, and the ability to manage stress and multiple priorities effectively.
Note: A background credit check is necessary for this position.
Pay Transparency: Sedgwick adheres to legal requirements regarding compensation transparency. Actual pay will vary based on skills, experience, and location. A comprehensive benefits package is available, including medical, dental, vision, 401k matching, PTO, and more.
Sedgwick is an Equal Opportunity Employer and maintains a drug-free workplace.
Diversity and Inclusion: We encourage candidates from diverse backgrounds to apply, recognizing that unique skills and experiences contribute to our success.
