Claims Examiner – Auto, Bodily Injury

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🤠 Texas – Remote

🤠 Texas – 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

• Analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability, and evaluating the scope of damages • Analyze complex auto bodily injury claims on behalf of clients • Process complex auto commercial and personal line claims, including bodily injury • Ensure claim files are properly documented and coded correctly • Responsible for litigation process on litigated claims • Coordinate vendor management, including use of independent adjusters • Report large claims to excess carrier(s) • Develop and maintain action plans to ensure state required contact deadlines are met • 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 • Perform other duties as assigned • Support the organization's quality program(s).

🎯 Requirements

• Five (5) years of claims management experience or equivalent combination of education and experience • 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 • Ability to secure and maintain the State adjusting licenses as required for the position

🏖️ Benefits

• Flexible work arrangements • Professional development opportunities