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About the Role
Analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability, and evaluating the scope of damages. This role is crucial for analyzing complex auto bodily injury claims on behalf of clients, ensuring timely resolution within service expectations, industry best practices, and specific client requirements.
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.
- Performs other duties as assigned.
- Supports the organization's quality program(s).
Requirements
- 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.
- Secure and maintain the State adjusting licenses as required for the position.
Skills
- Strong oral and written communication, including presentation skills
- PC literate including Microsoft Office products
- Ability to work in a team environment
Location
- Los Angeles County
- City of Los Angeles
- San Diego
- San Francisco
- California
Work Type
- Full-time
Experience Level
- 5 years of claims management experience
Education Level
- Bachelor's degree preferred
- Professional certification as applicable to line of business preferred
Salary/Compensations
- $80,000
Benefits
- Flexible work schedule
- Referral incentive program
- Career development and promotional growth opportunities
- Medical
- Dental
- Vision
- 401K on day one
- 401K and matching
- PTO
- Disability and life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
About the Company
- Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
- 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
Equal Opportunity
- Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.
- Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.