索赔审查员，商业卡车保险 | 身体伤害 | 远程办公
Claims Examiner, Commercial Trucking | Bodily Injury | Remote
加入Sedgwick，你将参与真正有意义的事业。我们的33,000名同事每天为全球面临意外的人们提供帮助。我们邀请你与我们共同成长，体验我们的关怀文化，享受工作与生活的平衡。在这里，你所能实现的没有界限。
Newsweek 将 Sedgwick 评为美国最佳职场全国顶级公司
被认证为卓越工作场所®
财富最佳金融服务与保险职场
理赔审查员，商用车险 | 人身伤害 | 远程办公
职位主要职责：通过审查保障范围、完成调查、确定责任和评估损害范围，分析和处理复杂的汽车和商业运输理赔。
关键职责可能包括
- 处理复杂的汽车商业和个人线理赔，包括人身伤害，并确保理赔文件正确记录和准确编码。
- 负责诉讼理赔的诉讼流程。
- 协调供应商管理，包括使用独立理赔员协助理赔调查。
- 向超额承保人报告大额理赔。
- 制定并维护行动计划，确保满足州规定的联系截止日期，并推动文件尽快妥善解决。
- 识别并追求代位求偿和风险转移机会；处理残值的获取和处置。
- 在适当情况下，与被保险人、客户、代理或经纪人沟通理赔行动/处理情况。
资格要求
教育与执照：需要五年（5年）理赔管理经验或同等教育和经验组合，需具备对个人和商业汽车政策、保障范围、原则和法律的深入了解。
- 优先考虑来自认可大学或学院的学士学位。
- 优先考虑与业务线相关的专业认证。
- 根据职位要求，获得并保持州级理赔员执照。
技能：对个人和商业汽车政策、保障范围、原则和法律有深入了解，了解用于理赔评估的医学术语和医保合规性，了解适当的免赔额、次限额、自付额、承保人和大额免赔额计划的应用，具备较强的口头和书面沟通能力，包括演示技巧，以及熟练使用电脑，包括 Microsoft Office 产品。
工作环境要求包括 –
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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
Claims Examiner, Commercial Trucking | Bodily Injury | RemotePRIMARY PURPOSE OF THE ROLE To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.
ESSENTIAL RESPONSIBLITIES MAY INCLUDE
- 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.
QUALIFICATIONS
Education & Licensing: 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.
- 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.
Skills: 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, and PC literate, including Microsoft Office products
Work environment requirements include –
Physical: Computer keyboarding
Auditory/visual: Hearing, vision and talking
Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.
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 $80,000 to $85,000. 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.
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.
Originally posted on Himalayas