Talent.com
Claims Examiner, Bodily Injury | Liability | Remote
Claims Examiner, Bodily Injury | Liability | RemoteRemote Staffing • Philadelphia, PA, US
Claims Examiner, Bodily Injury | Liability | Remote

Claims Examiner, Bodily Injury | Liability | Remote

Remote Staffing • Philadelphia, PA, 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 Claims Examiner, Bodily Injury | Liability | Remote

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.

    [job_alerts.create_a_job]

    Claim Examiner • Philadelphia, PA, US

    [internal_linking.similar_jobs]
    Claim Specialist - Property Field Inspection

    Claim Specialist - Property Field Inspection

    State Farm • Langhorne, PA, United States
    [job_card.full_time]
    Being good neighbors - helping people, investing in our communities, and making the world a better place - is who we are at State Farm. It is at the core of how we operate and the reason for our suc...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Insurance Claims Environmental

    Insurance Claims Environmental

    Diedre Moire Corp. • Camden, NJ, US
    [job_card.full_time]
    Claims Examiner - Environmental - Insurance - Camden, NJ Insurance Claims Specialist Adjuster Examiner Analyst Attorney Environmental Toxic Tort Asbestos Pollution Health Hazard _.REMOTE WORK FROM ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    $350-$400k Point Pleasant, PA-Physiatry Job No Call Part Time Available

    $350-$400k Point Pleasant, PA-Physiatry Job No Call Part Time Available

    Medrina • Point Pleasant, PA, US
    [job_card.full_time] +2
    Description : We are seeking a highly skilled and compassionate physiatrist to join our team.The ideal candidate will be a board-certified or board-eligible physiatrist with experience in managing p...[show_more]
    [last_updated.last_updated_less] • [promoted] • [new]
    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 • Camden, New Jersey, 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]
    LLM Response Reviewer (Remote)_

    LLM Response Reviewer (Remote)_

    Scale AI • Philadelphia, Pennsylvania, United States
    [filters.remote]
    [job_card.full_time]
    Join a global community of talented professionals to shape the future of AI.Earn up to $15 USD / hr and additional rewards based on quality of submission. Outlier is committed to improving the intelli...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Claims Specialist - Public Entity

    Claims Specialist - Public Entity

    Munich RE • Philadelphia, PA, United States
    [job_card.full_time]
    Chicago, United States; Atlanta, United States; Philadelphia, United States; Princeton, United States;.We are adding to our diverse team of experts and are looking to hire those who are committed t...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Associate Actuary - Claims - Hybrid / REMOTE (EST)

    Associate Actuary - Claims - Hybrid / REMOTE (EST)

    DW Simpson • Philadelphia, PA, United States
    [filters.remote]
    [job_card.full_time]
    Work with a talented & supportive team! A leading P&C company is seeking an ACAS with a least 5 years of actuarial experience to join as a . In this role, you will perform trends analyses, identify ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Senior Environmental Claims Adjuster (CONTRACT)

    Senior Environmental Claims Adjuster (CONTRACT)

    Argonaut Management Services, Inc • Philadelphia, PA, 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]
    Response Quality Adjudicator (Remote)

    Response Quality Adjudicator (Remote)

    Scale AI • Philadelphia, Pennsylvania, United States
    [filters.remote]
    [job_card.full_time]
    Join a global community of talented professionals to shape the future of AI.Earn up to $15 USD / hr and additional rewards based on quality of submission. Outlier is committed to improving the intelli...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Senior Field Property Claims Examiner (PHILADELPHIA)

    Senior Field Property Claims Examiner (PHILADELPHIA)

    Usaa • Philadelphia, Pennsylvania, US
    [job_card.full_time]
    Why USAA? You can get further details about the nature of this opening, and what is expected from applicants, by reading the below. At USAA, our mission is to empower our members to achieve financia...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Corp. Claims Examiner

    Corp. Claims Examiner

    Asplundh Tree Expert • Willow Grove, PA, US
    [job_card.full_time]
    Benefits Available and vary per position and location.Are you a real go-getter looking for an amazing opportunity with a nationwide full-service-utility contractor offering competitive wages and in...[show_more]
    [last_updated.last_updated_30]
    Remote Claims Representative

    Remote Claims Representative

    Metro Public Adjustment • Philadelphia, PA, US
    [filters.remote]
    [job_card.full_time] +1
    Benefit from our 32 years of experience in business : We have an AWESOME training program and it's FREE!! Part time $35,000 or full time $150,000 + (COMMISSION) Looking to fill Management position t...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Workers' Compensation Defense Attorney

    Workers' Compensation Defense Attorney

    Jobot • Philadelphia, PA, US
    [job_card.full_time]
    This Jobot Job is hosted by : Ethan Goldman.Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume. Salary : $90,000 - $110,000 per year.Our client is an extremely...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Claims Examiner - Liability | Litigation, General Liability and Auto Preferred | NY Licensing Required - Remote

    Claims Examiner - Liability | Litigation, General Liability and Auto Preferred | NY Licensing Required - Remote

    Philadelphia Staffing • Philadelphia, PA, US
    [filters.remote]
    [job_card.full_time]
    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 c...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Senior Claim Examiner

    Senior Claim Examiner

    Chubb • Philadelphia, PA, US
    [job_card.full_time]
    The job responsibilities for this position will include the following : .Manage first-and third-party cyber claims.Timely and accurately analyze and address coverage issues under cyber policies;.Cond...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Coverage Litigation Solutions Leader

    Coverage Litigation Solutions Leader

    Beazley Group • Philadelphia, PA, United States
    [job_card.full_time]
    Coverage Litigation Solutions Leader.Preferred locations are Chicago, New York, Atlanta, Philadelphia.As per Beazley's organization chart. Group Claims Management Team including the Chief Claims and...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Claims Examiner, Bodily Injury | Liability | Remote

    Claims Examiner, Bodily Injury | Liability | Remote

    Philadelphia Staffing • Philadelphia, PA, 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]
    Licensed Property & Casualty Insurance Agent - Remote USA

    Licensed Property & Casualty Insurance Agent - Remote USA

    TTEC • Richboro, Pennsylvania, US
    [filters.remote]
    [job_card.full_time]
    Licensed Property & Casualty Insurance Agent - Remote USA Your potential has a place here with TTEC’s award-winning employment experience. As a Licensed Property & Casualty Insurance Agent working r...[show_more]
    [last_updated.last_updated_1_day] • [promoted]