# Claims Examiner - Auto

**Company**: Sedgwick
**Location**: Canada Telecommuter
**Experience**: senior
**Job type**: full-time
**Category**: Insurance
**Industry**: Insurance

**Apply**: https://sedgwick.wd1.myworkdayjobs.com/en-US/Sedgwick/job/Canada-Telecommuter/Claims-Examiner---Auto_R79919?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_5bf51b40-a41

## Description

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 - Auto, your primary purpose will be to analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability, and evaluating the scope of damages.

**Responsibilities**

- Process complex auto commercial and personal line claims, including bodily injury, and ensure claim files are properly documented and coded correctly.

- Be responsible for the litigation process on litigated claims.

- Coordinate vendor management, including the use of independent adjusters to assist in the investigation of claims.

- Report large claims to excess carrier(s).

- Develop and maintain action plans to ensure state-required contact deadlines are met and to move the file towards prompt and appropriate resolution.

- Identify and pursue subrogation and risk transfer opportunities; secure and dispose of salvage.

- Communicate claim action/processing with insured, client, and agent or broker when appropriate.

**Additional Responsibilities**

- Perform other duties as assigned.

- Support the organization's quality program(s).

- Travel as required.

**Qualifications**

- 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.

- Five (5) years of claims management experience or equivalent combination of education and experience required, including 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.

## Skills

### Required
- claims management
- auto policies
- coverage
- liability
- damages
- litigation
- vendor management
- subrogation
- risk transfer
- salvage
- communication
- Microsoft Office
- organizational skills
- interpersonal skills
- negotiation

### Nice to have
- professional certification
- state adjusting licenses

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Source: [Apply at sedgwick.wd1.myworkdayjobs.com](https://sedgwick.wd1.myworkdayjobs.com/en-US/Sedgwick/job/Canada-Telecommuter/Claims-Examiner---Auto_R79919?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)