Sedgwick

Sedgwick, headquartered in Memphis, Tennessee, provides a global clientele with technology-enabled risk and benefits solutions. Distinguished as an Employer of

Claims Examiner, Auto – Bodily Injury

Location

Florida + 2 moreAll locations: Florida | Ohio | Texas

Posted

83 days ago

Salary

$60K - $65K / year

Seniority

Senior

Bachelor Degree5 yrs expEnglish

Job Description

Claims Examiner, Auto – Bodily Injury

Sedgwick

• Analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. • 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.

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 to include in-depth knowledge of personal and commercial line auto policies, coverage’s, principles, and laws
  • Professional certification as applicable to line of business preferred
  • Secure and maintain the State adjusting licenses as required for the position.
  • Knowledge of medical terminology for claim evaluation and Medicare compliance
  • Knowledge of appropriate application for deductibles, sub-limits, SIR’s, carrier and large deductible programs.
  • PC literate, including Microsoft Office products

Benefits

  • medical
  • dental
  • vision
  • 401k and matching
  • PTO
  • disability and life insurance
  • employee assistance
  • flexible spending or health savings account
  • other additional voluntary benefits

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United States
Job Closed