Claims Examiner – Auto, Bodily Injury

🕒 May 14

🌴 South Carolina – Remote

🌴 South Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

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Sedgwick

WebsiteLinkedInAll Job Openings

10,000+ employees

🏢 Enterprise

📋 Compliance

Insurance • Enterprise • Compliance

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

• To analyze and process complex bodily injury 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. • Performs other duties as assigned. Supports the organization's quality program(s). • Travels as required.

🎯 Requirements

• 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. • Bachelor's degree from an accredited college or university preferred. • Professional certification as applicable to line of business preferred. • strong oral and written communication, including presentation skills, PC literate including Microsoft Office products, and ability to work in a team environment. • Secure and maintain the State adjusting licenses as required for the position.

🏖️ Benefits

• Flexible work schedule. • Referral incentive program. • Career development and promotional growth opportunities. • A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.