Claims Examiner – Bodily Injury – Auto

🔥 12 hours ago

🇨🇦 Canada – Remote

💵 $67.8k - $108.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

👻 Ghost score 0%

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Sedgwick

WebsiteLinkedInAll Job Openings

10,000+ employees

🏗️ Construction

💼 Consulting

🏥 Healthcare

Construction • Consulting • Healthcare

Sedgwick is a global provider of technology-enabled risk, benefits, and integrated business solutions. They help people and organizations by managing and mitigating risk with solutions in accident, health, disability, unemployment compensation, and liability claims administration, among others. Sedgwick offers services such as claims administration, building consulting, forensic accounting, and forensic engineering. Their specialties include property restoration, brand protection, and loss prevention across several industries, including agriculture, construction, and environmental sectors. The company emphasizes diversity, equity, and inclusion (DEI) as well as environmental, social, and governance (ESG) practices.

📋 Description

• Analyze and process complex bodily injury auto and commercial transportation claims • Review coverage, complete investigations, determine liability, and evaluate the scope of damages • Process complex commercial and personal-line auto claims, including bodily injury • Ensure claim files are properly documented and coded correctly • Manage the litigation process on litigated claims • Coordinate vendor management and use independent adjusters to assist investigations • Report large claims to excess carriers • Develop and maintain action plans to meet state-required contact deadlines and move files toward prompt resolution • Identify and pursue subrogation and risk-transfer opportunities • Secure and dispose of salvage • Communicate claim actions and processing with insureds, clients, and agents or brokers • Support organizational quality programs • Perform other duties as assigned • Travel as required

🎯 Requirements

• Bachelor's 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 • 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, coverages, principles, and laws • Knowledge of medical terminology for claim evaluation and Medicare compliance • Knowledge of deductibles, sub-limits, SIRs, carrier and large deductible programs • Strong oral and written communication, including presentation skills • PC literate, including Microsoft Office products • Strong organizational and interpersonal skills • Good negotiation skills • Ability to work in a team environment • Ability to meet or exceed Service Expectations • Ability to travel as required

🏖️ Benefits

• Work-life balance • Inclusive, barrier-free recruitment and selection processes • Accommodation support during recruitment, if required

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