Be an early applicantLess than 25 applicants

Company

Original Job Post

Sedgwick · 2 days ago

Claims Examiner - Auto Liability

Georgia, United States

Full-time

Onsite

Mid, Senior Level

$54K/yr - $54K/yr

5+ years exp

Wonder how qualified you are to the job?

Maximize your interview chances

BankingInsurance

Actively Hiring

Insider Connection @Sedgwick

Discover valuable connections within the company who might provide insights and potential referrals, giving your job application an inside edge.

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.

Claims managementIn-depth knowledge of personalCommercial line auto policies medical terminology appropriate application for deductiblesPC literateMicrosoft Office products organizational skills interpersonal skills negotiation skills work in a team environment meetExceed service expectations

Required

Bachelor's degree from an accredited college or university preferred

Professional certification as applicable to line of business preferred

Secure and maintain the State adjusting licenses as required for the position

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

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

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