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