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Auto Claims Representative | PIP | Remote

Auto Claims Representative | PIP | Remote

Remote StaffingSanta Fe, NM, US
3 days ago
Job type
  • Full-time
  • Remote
Job description

Auto Claims Representative

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 low to mid-level auto and transportation claims.

Essential Functions and Responsibilities :

  • Processes auto property damage regarding PIP and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy.
  • Develops and maintains action plans to ensure state required contract deadlines are met and to move the file towards prompt and appropriate resolution.
  • Identifies and pursues subrogation opportunities; secures and disposes of salvage.
  • Communicates claim action / processing with insured, client, and agent or broker when appropriate.
  • Maintains professional client relations.
  • Performs coverage, liability, and damage analysis on all claims assignments.

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

    Experience : Three (3) years of personal line or commercial line property claims management experience or equivalent combination of education and experience required to include knowledge of construction basics. Property estimating software experience a plus.

    Skills & Knowledge :

  • Familiarity with personal and commercial lines policies and endorsements
  • Ability to review and assess Property Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims
  • Knowledge of total loss processing, State salvage forms and title requirements
  • Excellent oral and written communication, including presentation skills
  • PC literate, including Microsoft Office products
  • Analytical and interpretive skills
  • Strong organizational skills
  • Good interpersonal 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.

    Note : Credit security clearance, confirmed via a background credit check, is required for this position.

    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 $55,000. 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.

    Always accepting applications. 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.

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    Claim Representative • Santa Fe, NM, US

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