Jobs · Finance · Ohio

Claims Examiner, Auto | Commercial Bodily Injury | Litigation Required

Sedgwick · Seven Hills, OH · 1 mo ago
Finance$70k/yrFull-time

About the role

To analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.

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).

Qualifications

  • 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, coverages, 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 work in a team environment.
  • Secure and maintain the State adjusting licenses as required for the position.

Work environment

  • Physical: Computer keyboarding
  • Auditory/visual: Hearing, vision and talking
  • Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.

Pay

$70,000 per year.

Benefits

  • Medical
  • Dental
  • Vision
  • 401k and matching
  • PTO
  • Disability and life insurance
  • Employee assistance
  • Flexible spending or health savings account
  • Other additional voluntary benefits

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