Sedgwick

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

Claims SpecialistClaims SpecialistFull TimeRemoteTeam 10,001+H1B SponsorCompany SiteLinkedIn

Location

Florida + 4 moreAll locations: Florida, North Carolina, Texas, Virginia, Wisconsin

Posted

5 days ago

Salary

Not specified

Bachelor Degree5 yrs expEnglish

Job Description

• Analyze and process complex auto and commercial transportation claims. • Review coverage and complete investigations. • Determine liability and evaluate the scope of damages. • Ensure claim files are properly documented and coded correctly. • Responsible for litigation process on litigated claims. • Coordinate vendor management, including independent adjusters to assist in claims investigation. • Report large claims to excess carrier(s). • Develop and maintain action plans to ensure state contact deadlines are met and files are resolved. • Identify and pursue subrogation and risk transfer opportunities; secure and dispose of salvage. • Communicate claim action/processing with insured, client, and agent or broker when appropriate.

Job Requirements

  • Bachelor's degree from an accredited college or university preferred.
  • 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.
  • 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 skills.
  • Strong interpersonal skills.
  • Good negotiation skills.
  • Ability to work in a team environment.
  • Ability to meet or exceed Service Expectations.

Benefits

  • Health insurance
  • 401(k) matching
  • Flexible work hours
  • Paid time off
  • Professional development opportunities

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