Talent.com
Claims Examiner, Bodily Injury | Liability | Remote
Claims Examiner, Bodily Injury | Liability | RemoteDetroit Staffing • Detroit, MI, US
Claims Examiner, Bodily Injury | Liability | Remote

Claims Examiner, Bodily Injury | Liability | Remote

Detroit Staffing • Detroit, MI, US
[job_card.variable_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
  • [filters.remote]
[job_card.job_description]

Claims Examiner, Bodily Injury | Liability | Remote

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 complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.

Essential Functions and Responsibilities :

  • 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.

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. Professional certification as applicable to line of business preferred. Secure and maintain the State adjusting licenses as required for the position.

    Experience : 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.

    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
  • 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 _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 $65,000_ _. 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. 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.

    [job_alerts.create_a_job]

    Claim Examiner • Detroit, MI, US

    [internal_linking.related_jobs]
    Technical Claims Manager Direct [2]

    Technical Claims Manager Direct [2]

    Compre • Detroit, MI, US
    [job_card.full_time]
    Technical Claims Manager Direct.Technical Claims Manager Direct US Hybrid, two days in office / remote East Coast (preferred) Full-Time We are a fast-growing global reinsurance speciality company...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Remote Property & Casualty Licensed Insurance Representative - Non-Sales

    Remote Property & Casualty Licensed Insurance Representative - Non-Sales

    Remote Staffing • Detroit, MI, US
    [filters.remote]
    [job_card.full_time]
    Customer Service / Support Job at TP.TP is a global, digital business services company.We deliver the most advanced, digitally powered business services to help the world's best brands streamline the...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel CVOR Tech - $2,538 per week in Ann Arbor, MI

    Travel CVOR Tech - $2,538 per week in Ann Arbor, MI

    Triage Staffing LLC • Detroit, Michigan, US
    [job_card.full_time]
    Travel Nursing : Cardiovascular OR Tech Ann Arbor.Shift Details : 9H Days (6 : 30 AM-4 : 00 PM).Length : 13 WEEKS 13 weeks. Apply for specific facility details.[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel MRI Tech - $2,207 per week in Pontiac, MI

    Travel MRI Tech - $2,207 per week in Pontiac, MI

    Atlas MedStaff • Warren, Michigan, US
    [job_card.full_time]
    Atlas Medstaff is currently seeking candidates in the MRI Tech (MRI Tech) profession for a 13 week contract in the Pontiac, Michigan area. Atlas Medstaff is a premier staffing firm dedicated to matc...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Licensed Life Insurance Agent Remote Commission Only

    Licensed Life Insurance Agent Remote Commission Only

    MW Agency • Troy, Michigan, USA
    [filters.remote]
    [job_card.full_time]
    Compensation : 100% Commission (1099) Average First-Year Earnings : $67500.Location : Fully Remote Work From Home.We are looking for ambitious coachable individuals to join our team as Insurance Sal...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Commercial Claims Manager

    Commercial Claims Manager

    Gpac • Highland Park, Michigan, United States
    [job_card.full_time]
    [filters_job_card.quick_apply]
    ESSENTIAL DUTIES AND RESPONSIBILITIES : .Provides advocacy for small, middle market, and high-profile clients reporting claims activity. Provide follow-up with claim acknowledgments and adjuster assig...[show_more]
    [last_updated.last_updated_variable_days]
    Travel CT Tech - $2,057 to $2,280 per week in Ann Arbor, MI

    Travel CT Tech - $2,057 to $2,280 per week in Ann Arbor, MI

    AlliedTravelNetwork • Warren, Michigan, US
    [job_card.full_time]
    AlliedTravelNetwork is working with LRS Healthcare to find a qualified CT Tech in Ann Arbor, Michigan, 48109!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits packag...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Property Field Claims Adjuster (Grand Rapids, Lansing, or Kalamazoo-MI)

    Property Field Claims Adjuster (Grand Rapids, Lansing, or Kalamazoo-MI)

    American Family Insurance • Detroit, MI, United States
    [job_card.full_time]
    You will work in the field and report to the Property Claim Manager and handle homeowner property field claims typically in the SW Michigan (Grand Rapids, Lansing, or Kalamazoo).You must be located...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Senior Environmental Claims Adjuster (CONTRACT)

    Senior Environmental Claims Adjuster (CONTRACT)

    Argonaut Management Services, Inc • Detroit, MI, United States
    [job_card.full_time]
    Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc. Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Claims Examiner, Bodily Injury | Liability | Remote

    Claims Examiner, Bodily Injury | Liability | Remote

    Remote Staffing • Detroit, MI, US
    [filters.remote]
    [job_card.full_time]
    Claims Examiner, Bodily Injury | Liability | Remote.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 ar...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Remote Virtual Licensed Life Insurance Agent

    Remote Virtual Licensed Life Insurance Agent

    Guetterman Financial Group, LLC • Detroit, MI, US
    [filters.remote]
    [job_card.full_time]
    [filters_job_card.quick_apply]
    Looking for Licensed life insurance Agents – Remote position Are you an agent who has yet to master virtual sales?.Or perhaps a great sales professional who has never been given the opportuni...[show_more]
    [last_updated.last_updated_30]
    Insurance Claims Environmental

    Insurance Claims Environmental

    Diedre Moire Corp. • Sterling Heights, MI, US
    [job_card.full_time]
    Pollution Insurance Claims - Sterling Heights, MI Insurance Claims Specialist Adjuster Examiner Analyst Attorney Environmental Toxic Tort Asbestos Pollution Health Hazard _.REMOTE WORK FROM HOME AV...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Job Experienced Field Property Claims Adjuster

    Job Experienced Field Property Claims Adjuster

    Federated Mutual Insurance • Detroit, MI, US
    [job_card.temporary]
    At Federated Insurance, we do life-changing work, focused on our clients' success.For our employees, we provide tremendous opportunities for growth. Over 95% of them believe our company has an outst...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Remote Licensed Life Insurance Agent - High Earnings, No Cold Outreach

    Remote Licensed Life Insurance Agent - High Earnings, No Cold Outreach

    AO Garcia Agency • Sterling Heights, Michigan, United States, 48310
    [filters.remote]
    [job_card.full_time]
    Licensed Life Insurance Agents Only.We're redefining how agents build their book of business.If you already hold a life insurance license and want a system that actually supports your income goals,...[show_more]
    [last_updated.last_updated_variable_hours] • [new]
    Property and Casualty - Insurance Agent

    Property and Casualty - Insurance Agent

    Financial Services of America • Troy, MI, US
    [job_card.full_time]
    [filters_job_card.quick_apply]
    FSA Insurance Agency is looking for charismatic and detail-oriented Home and Auto Insurance Agents to join our growing team! We offer salary, along with commission for every sale closed, along with...[show_more]
    [last_updated.last_updated_30]
    Saginaw Michigan Field Property Claim Specialist

    Saginaw Michigan Field Property Claim Specialist

    The Auto Club Group • Troy, MI, United States
    [job_card.full_time]
    It's a great time to join AAA The Auto Club Group!.JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD.Eligible candidates for this role should reside within a commutable distance of Saginaw, Mi...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Claim Adjust-Detriot, MI

    Claim Adjust-Detriot, MI

    Staffing • Detroit, MI, US
    [job_card.full_time]
    Claim Adjust Location : Detroit, MI Duration : 5 Months Visa : GC or USC The main function of a Claims Adjuster is to investigate, analyze, and determine the extent of insurance company's liability to...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Remote Claims Adjusters, Examiners, and Investigators - AI Trainer ($60-$100 per hour)

    Remote Claims Adjusters, Examiners, and Investigators - AI Trainer ($60-$100 per hour)

    Mercor • Sterling Heights, Michigan, US
    [filters.remote]
    [job_card.full_time]
    Role Overview • •Mercor is collaborating with a top-tier AI research group to model real-world claims workflows for property and casualty insurance. We are seeking experienced independent contractors—...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]