Claims Examiner - Auto
Claims Examiner - Auto
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Taking care of people is at the heart of everything we do and we start by taking care of you our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. Its an opportunity to do something meaningful each and every day. Its having support for your mental physical financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.
A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference who enjoys a challenge and above all if youre someone who cares theres a place for you here. Join us and contribute to Sedgwick being a great place to work.
Great Place to Work
Most Loved Workplace
Forbes BestinState Employer
PRIMARY PURPOSE: To analyze and process complex auto and commercial transportation claims by reviewing coverage completing investigations determining liability and evaluating the scope of damages.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
- 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.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
- Performs other duties as assigned.
- Supports the organizations quality program(s).
- Travels as required.
QUALIFICATIONS
Education & Licensing
Bachelors degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Secure and maintain the State adjusting licenses as required for the position.
Experience
Five 5 years of claims management experience or equivalent combination of education and experience required to include indepth knowledge of personal and commercial line auto policies coverages principles and laws.
Skills & Knowledge
- Indepth knowledge of personal and commercial line auto policies coverages principles and laws
- Knowledge of medical terminology for claim evaluation and Medicare compliance
- Knowledge of appropriate application for deductibles sublimits SIRs carrier and large deductible programs.
- 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
WORK ENVIRONMENT
When applicable and appropriate consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment troubleshooting problem solving analysis and discretion; ability to handle workrelated stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding travel as required
Auditory/Visual: Hearing vision and talking
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions duties or local variances. Management retains the discretion to add or to change the duties of the position at any time.
at any time.
Sedgwickis an Equal Opportunity Employer and a DrugFree Workplace.
If youre excited about this role but your experience doesnt 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.
Employment Type
Full-Time
