Talent.com
Claims Examiner, Bodily Injury | Liability | Remote
Claims Examiner, Bodily Injury | Liability | RemoteDallas Staffing • Dallas, TX, US
[error_messages.no_longer_accepting]
Claims Examiner, Bodily Injury | Liability | Remote

Claims Examiner, Bodily Injury | Liability | Remote

Dallas Staffing • Dallas, TX, 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 • Dallas, TX, US

    [internal_linking.related_jobs]
    Claims Advocate - Property / Energy & Renewables - Commercial Insurance Claims

    Claims Advocate - Property / Energy & Renewables - Commercial Insurance Claims

    Aon • Dallas, TX, United States
    [job_card.full_time] +1
    Aon is looking for a Property / Energy & Renewables Claims Advocate.Are you ready to take on a new challenge and work with the best Risk Management Professionals in the business? Then this just maybe...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Claims Specialist - Rideshare Commercial Claims Injury Adjuster

    Claims Specialist - Rideshare Commercial Claims Injury Adjuster

    Liberty Mutual Insurance • Plano, Texas, United States
    [job_card.full_time]
    Schedule : Full-Time Salary Range : USD $60000.Job Category : Claims Description At Liberty, you'll thrive in a hybrid setting that fosters in-person collaboration, innovation and growth.This approach...[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 • Richardson, Texas, 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]
    Subrogation Claims Professional (Mid or Senior Level)

    Subrogation Claims Professional (Mid or Senior Level)

    Berkshire Hathaway Homestate Companies • Plano, TX, US
    [job_card.full_time]
    Subrogation Claims Professional (Mid Or Senior Level).Berkshire Hathaway Homestate Companies, Workers Compensation Division, is looking for a Subrogation Claims Professional! This individual will b...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Senior Claims Technical Specialist - Financial Lines

    Senior Claims Technical Specialist - Financial Lines

    QBE Insurance • Plano, TX, US
    [job_card.full_time] +1
    Senior Claims Technical Specialist - Financial Lines.Location : USA NY New York, TX- Plano, and IL-Chicago.The salary range for this role is : $126,000 - $236,000. The purpose of this role is to ove...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Claims Examiner

    Claims Examiner

    NTT DATA • Plano, TX, US
    [job_card.full_time]
    NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us.If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now....[show_more]
    [last_updated.last_updated_30] • [promoted]
    Remote Medical Claims Representative

    Remote Medical Claims Representative

    Remote Staffing • Plano, TX, US
    [filters.remote]
    [job_card.full_time]
    At NTT DATA, we know that with the right people on board, anything is possible.The quality, integrity, and commitment of our employees have been key factors in our companys growth and market presen...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Claims Specialist III

    Claims Specialist III

    INSHUR • Dallas, TX, US
    [job_card.full_time] +1
    [filters_job_card.quick_apply]
    Are you keen to work somewhere that’s stimulating and friendly, with loads of opportunities for growth and plenty of freedom to make a real impact? This could be the place for you!.INSHUR! We’re ba...[show_more]
    [last_updated.last_updated_variable_days]
    Dental Claims Examiner

    Dental Claims Examiner

    Firstsource • Dallas, TX, United States
    [job_card.full_time]
    Dental Claims Examiner-Work From Home.Health Plan and Healthcare Services.Team Lead / Supervisor - Operations.The Claims Examiner evaluates insurance claims to determine whether their validity and ho...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Tech Lead Guidewire Claim Center

    Tech Lead Guidewire Claim Center

    HCLTech • Plano, TX, US
    [job_card.full_time]
    We are HCLTech, one of the fastest-growing large tech companies in the world and home to 220,000 people across 60 countries, supercharging progress through industry-leading capabilities centered ar...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Claims Specialist - Rideshare Commercial Claims Injury Adjuster

    Claims Specialist - Rideshare Commercial Claims Injury Adjuster

    Liberty Mutual Insurance Group • Plano, TX, US
    [job_card.full_time]
    At Liberty, you'll thrive in a hybrid setting that fosters in-person collaboration, innovation and growth.This approach optimizes both remote and in-person interactions, enabling you to connect and...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Insurance Claims Environmental

    Insurance Claims Environmental

    Diedre Moire Corp. • Allen, TX, US
    [job_card.full_time]
    Insurance Environmental Claims - Allen, TX Insurance Claims Specialist Adjuster Examiner Analyst Attorney Environmental Toxic Tort Asbestos Pollution Health Hazard _. REMOTE WORK FROM HOME AVAILABLE...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Remote - Claims Adjuster - Automotive

    Remote - Claims Adjuster - Automotive

    Dallas Staffing • Dallas, TX, US
    [filters.remote]
    [job_card.full_time]
    American Guardian Warranty Services, Inc.AGWS), an affiliate of Reynolds and Reynolds, is seeking a Claims Adjuster - Automotive for our growing team. In this role, you will work remotely and be res...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Remote Medical Claims Representative

    Remote Medical Claims Representative

    Texas Staffing • Plano, TX, US
    [filters.remote]
    [job_card.full_time]
    At NTT DATA, we know that with the right people on board, anything is possible.The quality, integrity, and commitment of our employees have been key factors in our company's growth and market prese...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Sr Claims Adjuster-Litigation

    Sr Claims Adjuster-Litigation

    Dallas Area Rapid Transit • Dallas, TX, US
    [job_card.temporary]
    Supervisory Organization : AVP Risk Management.Country : United States of America.Professionals : 02 - Professional (EEO-4-United States of America), 2D - Professionals - Business (EEO-SubCategory).Ma...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Auto Liability Inside Claim Representative

    Auto Liability Inside Claim Representative

    Travelers • Richardson, TX, US
    [job_card.full_time]
    Personal And Business Insurance Auto Bodily Injury Claims.This position is responsible for handling Personal and Business Insurance Auto Bodily Injury claims from the first notice of loss through r...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Tech Lead Guidewire Claim Center

    Tech Lead Guidewire Claim Center

    Shrive Technologies LLC • Plano, Texas, USA
    [job_card.full_time]
    Tech Lead Guidewire Claim Center.Guidewire Claims Center Guidewire Associate certification Cloud APD.Should have knowledge on end-to-end claim life cycle(Segmentation Exposure Reserve Payments Reco...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Claims Specialist (Floater)

    Claims Specialist (Floater)

    CorVel • Dallas, TX, US
    [job_card.full_time]
    The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, un...[show_more]
    [last_updated.last_updated_30] • [promoted]