Sedgwick · 14 hours ago
Claims Examiner - Auto - Commercial Trucking I Remote (Pacific or Mountain Time Zone)
Maximize your interview chances
BankingInsurance
No H1BSecurity Clearance Required
Insider Connection @Sedgwick
Get 3x more responses when you reach out via email instead of LinkedIn.
Responsibilities
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.
Qualification
Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.
Required
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.
Secure and maintain the State adjusting licenses as required for the position.
In-depth knowledge of personal and commercial line auto policies, coverage’s, principles, and laws.
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.
Strong oral and written communication, including presentation skills.
PC literate, including Microsoft Office products.
Strong organizational skills.
Strong interpersonal skills.
Good negotiation skills.
Ability to work in a team environment.
Ability to meet or exceed Service Expectations.
Credit security clearance, confirmed via a background credit check, is required for this position.
Preferred
Bachelor's degree from an accredited college or university preferred.
Professional certification as applicable to line of business preferred.
Benefits
Medical
Dental
Vision
401k and matching
PTO
Disability and life insurance
Employee assistance
Flexible spending or health savings account
Other additional voluntary benefits
Company
Sedgwick
Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions.
Funding
Current Stage
Late StageTotal Funding
$1.5BKey Investors
Altas PartnersCaisse de Depot et Placement du Quebec
2024-09-12Private Equity· $1B
2018-12-01Private Equity· undefined
2018-09-12Acquired· undefined
Recent News
2024-11-15
2024-03-04
2024-01-22
Company data provided by crunchbase