Sedgwick

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 Adjuster – Auto

Claims SpecialistClaims SpecialistFull TimeRemoteTeam 10,001+H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

24 days ago

Salary

$65K / year

Bachelor Degree4 yrs expEnglish

Job Description

• To analyze mid- and higher-level general auto claims to determine scope of damages. • To ensure ongoing adjudication of claims within company standards and industry best practices. • To identify subrogation of claims and negotiate settlements. • Manages mid-level and higher-level auto commercial and personal lines claims by gathering information to determine exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level. • Assesses liability and resolves claims within evaluation. • Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract. • Manages subrogation of claims and negotiates settlements. • Communicates claim action with claimant and client. • Ensures claim files are properly documented and claims coding is correct. • Maintains professional client relationships.

Job Requirements

  • Bachelor's degree from an accredited college or university preferred.
  • Professional certification as applicable to line of business preferred.
  • Four (4) years of claims management experience or equivalent combination of education and experience required.
  • Subject matter expert of appropriate insurance principles and laws for line-of-business handled.
  • Excellent oral and written communication skills, including presentation skills.
  • PC literate, including Microsoft Office products.
  • Analytical and interpretive skills.
  • Strong organizational skills.
  • Excellent interpersonal skills.
  • Excellent negotiating skills.
  • Ability to create and complete comprehensive, accurate and constructive written reports.
  • Ability to work in a team environment.
  • Ability to meet or exceed Performance Competencies.

Benefits

  • medical
  • dental
  • vision
  • 401k and matching
  • PTO
  • disability and life insurance
  • employee assistance
  • flexible spending or health savings account
  • other additional voluntary benefits

Related Categories

Related Job Pages

More Claims Specialist Jobs

Claims Specialist24 days ago
Full TimeRemoteTeam 201-500Since 2017H1B Sponsor

Design, deliver, and maintain onboarding and continuing education for Homeowners, Liability, and Auto claims. Create instructional content (VILT, e-learning, simulations), assess training needs via claims data and KPIs, run train-the-trainer and coaching programs, manage LMS content, and report on training effectiveness to claims leadership.

Microsoft OfficeGoogle WorkspaceLearning Management SystemsAi
United States
$82K - $95K / year
Full TimeRemoteTeam 2-10

Knight Insurance Group is seeking a seasoned Construction Defect Claims Specialist to manage complex, litigated CGL claims involving multi-party construction defect matters, primarily in California. This role is designed for an experienced adjuster who is comfortable operating in...

Commercial General LiabilityConstruction DefectLitigationMulti-party ClaimsCoverage AnalysisRisk TransferReserve SettingDefense Counsel ManagementMediationSettlement NegotiationSubrogationCalifornia GL Claims
United States
$120K - $160K / year
Claims Specialist25 days ago
Full TimeRemoteTeam 10,001+H1B No Sponsor

Manage patient account balances by submitting accurate claims, resolving errors, ensuring compliance, and providing excellent customer service within the healthcare revenue cycle operations.

Cpt CodingIcd-10
United States

Senior Claims Specialist - CA Workers' Compensation

Great American Insurance Group

Headquartered in the Central Florida city of Lakeland, Summit employs over 700 office and field associates at its main location and regional offices in Baton Rouge, Louisiana, and Gainesville, Georgia. Summit provides workers’ compensation programs and services to thousands of employers throughout the Southeast. Summit is a member of Great American Insurance Group, a company that focuses on building relationships and linking people to various career paths.

Claims Specialist25 days ago
Full TimeRemoteTeam 4,738

As a Senior Claims Specialist, you will investigate and adjust workers' compensation claims, analyze coverage, negotiate settlements, and prepare reports, while working collaboratively with internal and external stakeholders.

Utah + 10 moreAll locations: Utah, Texas, Idaho, Nevada, Oregon, Arizona, Oklahoma, Colorado, California, New Mexico, District Of Columbia
$105K - $120K / year