Claims Examiner, Auto | Bodily Injury
通过加入 Sedgwick,你将成为真正有意义的东西的一部分。这是我们33,000名同事每天为世界各地面临意外的事情的人做的事。我们邀请你与我们一起发展自己的职业生涯，体验我们的关心文化，并享受工作和生活平衡。在这里，你能达到什么样的目标没有限制。新闻周刊承认 Sedgwik 是美国最伟大的工作场所国家顶级公司作为一个伟大的工作场所®财富最佳工作场所在金融服务和保险索赔检查员，车辆伤害首要目的：通过审查覆盖范围，完成调查，确定责任和评估损害的范围来分析和处理复杂的车身伤害和商业运输索赔。你是一个理想候选人吗？通过评估覆盖范围和调查责任以及管理损失来分析复杂的汽车伤害索赔，同时确保在服务期望，行业最佳实践和客户特定要求范围内及时解决问题。重要责任可能包括 · 处理复杂的人身伤害与个人伤害等车辆商业索赔，并确保索赔文件正确记录和编码。·负责对诉讼流程的处理。·协调供应商管理，包括使用独立调整者协助调查索赔。·报告大量索赔给过剩运营商 () 进行。·制定和维护行动计划以确保国家要求的联系截止日期得到满足，并将文件转移到迅速适当解决方向。·确定和追求代购和风险转让机会；确保和处置救援。·酌情与保险人，客户以及代理或经纪人沟通索赔诉讼/处理。·履行其他任务。·支持组织质量方案). 五 (5) 年的索赔管理经验或相当于教育和经验组合，需要包括个人和商业线路汽车政策，覆盖范围，原则和法律的深入知识。·从一个认可大学或大学获得学士学位；·适用于优先行业的专业证书。·技能：强的口头和书面沟通，包括演示能力，PC 识别能力，包括微软办公室产品以及在团队环境中工作的能力。
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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, Auto | Bodily InjuryPRIMARY PURPOSE OF 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.
ARE YOU AN IDEAL CANDIDATE?
To analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements.
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.
- Performs other duties as assigned.
- Supports the organization's quality program(s).
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.
- Skills: strong oral and written communication, including presentation skills, PC literate including Microsoft Office products, and ability to work in a team environment.
- Secure and maintain the State adjusting licenses as required for the position.
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 per year. 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.
Originally posted on Himalayas