Claims Examiner - Bodily Injury - Auto

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.

As a Claims Examiner - Bodily Injury - Auto, you will analyze and process complex bodily injury auto and commercial transportation claims. Your responsibilities will include:

• Reviewing coverage, completing investigations, determining liability, and evaluating the scope of damages
• Processing complex auto commercial and personal line claims, including bodily injury, and ensuring claim files are properly documented and coded correctly
• Managing litigation process on litigated claims
• Coordinating vendor management, including the use of independent adjusters to assist the investigation of claims
• Reporting large claims to excess carrier(s)
• Developing and maintaining action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution
• Identifying and pursuing subrogation and risk transfer opportunities; securing and disposing of salvage
• Communicating claim action/processing with insured, client, and agent or broker when appropriate

To qualify for this role, you will need:

• Bachelor's degree from an accredited college or university, preferably
• Professional certification as applicable to line of business, preferably
• Secure and maintain the State adjusting licenses as required for the position
• Five (5) years of claims management experience or equivalent combination of education and experience, including in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws
• 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 literacy, 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

In return for your hard work, we offer a salary range of $67,847.00 - $108,555.00 CAD annually, depending on experience, qualifications, and internal equity.