Sedgwick · 1 day ago
Claims Examiner, Bodily Injury | Auto | Remote
United States
Full-time
Remote
Mid, Senior Level
$70K/yr - $75K/yr
5+ years expSedgwick is a leading claims management services provider, dedicated to helping individuals facing unexpected challenges. The Claims Examiner role involves analyzing and processing complex auto and commercial transportation claims, ensuring proper documentation, and coordinating vendor management to facilitate investigations and resolutions.
BankingInsuranceRisk Management
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
Required
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
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
Preferred
Bachelor's degree from an accredited college or university
Professional certification as applicable to line of business
Secure and maintain the State adjusting licenses as required for the position
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 the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$1.5BKey Investors
Altas PartnersLa Caisse
2024-09-12Private Equity· $1B
2018-12-01Private Equity
2018-09-12Acquired
Leadership Team
Michael Arbour
Chairman & Chief Executive Officer
Kalani Reelitz
Global Chief Financial Officer
Recent News
Morningstar.com
2025-11-10
2025-09-04
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