Claims Examiner, Bodily Injury, Commercial Trucking

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $80k - $85k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

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

🎯 Requirements

• 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 appropriate application for deductibles, sub-limits, SIRs, carrier, and large deductible programs • Strong oral and written communication, including presentation skills • PC literacy, including Microsoft Office products • Secure and maintain state adjusting licenses as required for the position • Computer keyboarding ability • Hearing, vision, and talking abilities • Clear and conceptual thinking ability • Excellent judgment and discretion • Ability to meet deadlines • Bachelor's degree from an accredited college or university preferred • Professional certification as applicable to line of business preferred

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • 401k and matching • PTO • Disability insurance • Life insurance • Employee assistance • Flexible spending or health savings account • Other additional voluntary benefits • Work-life balance • Caring culture • Equal opportunity workplace • Drug-free workplace