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Auto Claims Analyst
2 months ago
Join Our Team as a Claims Examiner
At Sedgwick, we prioritize the well-being of our employees, ensuring a supportive and inclusive workplace. A career with us means embracing a culture that values flexibility and personal growth. Here, you will have the chance to make a meaningful impact every day while receiving the support you need for your mental, physical, financial, and professional well-being.
Why Choose Sedgwick?
We believe that passion and purpose go hand in hand. If you are motivated to make a difference and thrive in a challenging environment, you will find a rewarding career with us. Our commitment to diversity and inclusion makes Sedgwick a great place to work.
About the Role
PRIMARY PURPOSE: The Claims Examiner will be responsible for analyzing and processing intricate auto and commercial transportation claims. This includes reviewing coverage, conducting investigations, determining liability, and assessing the extent of damages.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
- Manage complex auto and commercial claims, ensuring accurate documentation and coding.
- Oversee the litigation process for claims that are litigated.
- Coordinate with vendors, including independent adjusters, to facilitate claim investigations.
- Report significant claims to excess carriers.
- Develop and implement action plans to meet state-mandated contact deadlines and expedite claim resolutions.
- Identify subrogation and risk transfer opportunities; manage salvage processes.
- Communicate effectively with insured parties, clients, and agents or brokers as necessary.
ADDITIONAL FUNCTIONS AND RESPONSIBILITIES:
- Perform other assigned duties.
- Support the organization's quality initiatives.
- Travel as required.
QUALIFICATIONS:
Education & Licensing: A bachelor's degree from an accredited institution is preferred. Professional certification relevant to the line of business is also preferred. Maintain necessary state adjusting licenses.
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 regulations.
Skills & Knowledge:
- Comprehensive knowledge of personal and commercial auto policies and relevant laws.
- Familiarity with medical terminology for claims evaluation and Medicare compliance.
- Understanding of deductibles, sub-limits, SIRs, and large deductible programs.
- Excellent oral and written communication skills, including presentation abilities.
- Proficient in Microsoft Office and other PC applications.
- Strong organizational and interpersonal skills.
- Effective negotiation skills.
- Able to work collaboratively in a team setting.
- Capable of meeting or exceeding service expectations.
WORK ENVIRONMENT: Reasonable accommodations will be considered when applicable.
Mental: Requires clear and conceptual thinking, excellent judgment, problem-solving abilities, and the capacity to manage work-related stress while handling multiple priorities and meeting deadlines.
Physical: Involves keyboarding and travel as necessary.
Auditory/Visual: Requires good hearing, vision, and verbal communication skills.
NOTE: A background credit check is required for this position.
Pay Transparency: Sedgwick provides a reasonable compensation range for roles in jurisdictions requiring pay transparency. Actual compensation is influenced by various factors, including skill set, experience level, and location.
Sedgwick is an Equal Opportunity Employer and maintains a Drug-Free Workplace.
We value diversity and encourage individuals with unique skills and experiences to apply.
