Talent.com
Claims Examiner, Bodily Injury | Liability | Remote
Claims Examiner, Bodily Injury | Liability | RemoteRemote Staffing • Independence, OH, US
No longer accepting applications
Claims Examiner, Bodily Injury | Liability | Remote

Claims Examiner, Bodily Injury | Liability | Remote

Remote Staffing • Independence, OH, US
1 day ago
Job type
  • Full-time
  • Remote
Job description

Claims Examiner, Bodily Injury | Liability | Remote

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance

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

Essential Functions and 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.

Additional Functions and Responsibilities :

  • Performs other duties as assigned.
  • Supports the organization's quality program(s).
  • Travels as required.
  • Qualifications

    Education & Licensing : 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.

    Experience : 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.

    Skills & Knowledge :

  • 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
  • Work Environment : When applicable and appropriate, consideration will be given to reasonable accommodations.

    Mental : Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

    Physical : Computer keyboarding, travel as required

    Auditory / Visual : Hearing, vision and talking _As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $65,000_ _. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

    The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

    Create a job alert for this search

    Claim Examiner • Independence, OH, US

    Related jobs
    Remote Survey Participant (Hiring Immediately)

    Remote Survey Participant (Hiring Immediately)

    Earn Haus • East Cleveland, Ohio, US
    Remote
    Full-time +1
    We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up...Show more
    Last updated: 30+ days ago • Promoted
    Flexible Remote Work – Get Paid to Share Your Opinions on Top Brands

    Flexible Remote Work – Get Paid to Share Your Opinions on Top Brands

    OCPA • Euclid, Ohio, us
    Remote
    Part-time +1
    Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of bet...Show more
    Last updated: 30+ days ago • Promoted
    Flexible Online Brand Survey Contributor (Hiring Immediately)

    Flexible Online Brand Survey Contributor (Hiring Immediately)

    Earn Haus • Glenville, Ohio, US
    Full-time +1
    We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up...Show more
    Last updated: 30+ days ago • Promoted
    Freelance Consumer Survey Contributor (Hiring Immediately)

    Freelance Consumer Survey Contributor (Hiring Immediately)

    Earn Haus • Euclid, Ohio, US
    Full-time +1
    We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up...Show more
    Last updated: 30+ days ago • Promoted
    Remote Consumer Feedback Specialist (Hiring Immediately)

    Remote Consumer Feedback Specialist (Hiring Immediately)

    Earn Haus • Glenville, Ohio, US
    Remote
    Full-time +1
    We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up...Show more
    Last updated: 30+ days ago • Promoted
    Earn up to $25 per survey Online Survey Taker (Hiring Immediately)

    Earn up to $25 per survey Online Survey Taker (Hiring Immediately)

    Earn Haus • South Euclid, Ohio, US
    Full-time +1
    We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up...Show more
    Last updated: 30+ days ago • Promoted
    Remote Opinion Survey Participant (Hiring Immediately)

    Remote Opinion Survey Participant (Hiring Immediately)

    Earn Haus • Euclid, Ohio, US
    Remote
    Full-time +1
    We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up...Show more
    Last updated: 30+ days ago • Promoted
    Flexible Schedule Paid Survey Participant (Hiring Immediately)

    Flexible Schedule Paid Survey Participant (Hiring Immediately)

    Earn Haus • Richmond Heights, Ohio, US
    Full-time +1
    We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up...Show more
    Last updated: 30+ days ago • Promoted
    Remote Brand Feedback Contributor (Hiring Immediately)

    Remote Brand Feedback Contributor (Hiring Immediately)

    Earn Haus • South Euclid, Ohio, US
    Remote
    Full-time +1
    We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up...Show more
    Last updated: 30+ days ago • Promoted
    Remote Consumer Insights Contributor (Hiring Immediately)

    Remote Consumer Insights Contributor (Hiring Immediately)

    Earn Haus • Cleveland Heights, Ohio, US
    Remote
    Full-time +1
    We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up...Show more
    Last updated: 30+ days ago • Promoted
    Licensed Insurance Agent

    Licensed Insurance Agent

    Diverse Lynx • Akron, OH, US
    Full-time
    We are seeking licensed insurance agents to join our growing remote team.In this role, you'll engage with inbound and outbound calls, assist customers with their insurance needs, and help guide the...Show more
    Last updated: 24 days ago • Promoted
    Claims Examiner - Auto / Bodily Injury

    Claims Examiner - Auto / Bodily Injury

    Sedgwick • Independence, OH, US
    Full-time
    Claims Examiner - Auto / Bodily Injury.By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the un...Show more
    Last updated: 30+ days ago • Promoted
    Remote Survey Participation Specialist (Hiring Immediately)

    Remote Survey Participation Specialist (Hiring Immediately)

    Earn Haus • Hough, Ohio, US
    Remote
    Full-time +1
    We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up...Show more
    Last updated: 30+ days ago • Promoted
    Earn up to $25 per survey Online Survey Taker - Work your own hours from anywhere (Hiring Immediately)

    Earn up to $25 per survey Online Survey Taker - Work your own hours from anywhere (Hiring Immediately)

    Earn Haus • Collinwood, Ohio, US
    Full-time +1
    We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up...Show more
    Last updated: 30+ days ago • Promoted
    Remote Product Tester – $45 / hr + Free Products – Start Now!

    Remote Product Tester – $45 / hr + Free Products – Start Now!

    OCPA • Richmond Heights, Ohio, us
    Remote
    Part-time +1
    Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of bet...Show more
    Last updated: 30+ days ago • Promoted
    Claims Examiner, Bodily Injury | Liability | Remote

    Claims Examiner, Bodily Injury | Liability | Remote

    Ohio Staffing • Independence, OH, US
    Remote
    Full-time
    Claims Examiner, Bodily Injury | Liability | Remote.By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who ar...Show more
    Last updated: 3 hours ago • Promoted • New!
    Remote Work Opinion Collector (Hiring Immediately)

    Remote Work Opinion Collector (Hiring Immediately)

    Earn Haus • Richmond Heights, Ohio, US
    Remote
    Full-time +1
    We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up...Show more
    Last updated: 30+ days ago • Promoted
    Flexible Online Survey Contributor (Hiring Immediately)

    Flexible Online Survey Contributor (Hiring Immediately)

    Earn Haus • East Cleveland, Ohio, US
    Full-time +1
    We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up...Show more
    Last updated: 30+ days ago • Promoted