Claims Examiner - Auto

Detailed Information

LISTED SITE
  • Location: Sun Prairie, WI

  • Company: Sedgwick Claims Management Services

support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve.

If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work Most Loved Workplace Forbes Best-in-State Employer Claims Examiner - Auto 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 NOTE : Credit security clearance, confirmed via a background credit check, is required for this position.

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. Requisition #: R44395tcv57hlu2

Insurance in Sun Prairie, WI

POPULAR
Claims Representative - Auto
1
Claims Representative - Auto
Sun Prairie, WI
Dec 20, 2023

support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve.

If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work Most Loved Workplace Forbes Best-in-State Employer Claims Representative - Auto PRIMARY PURPOSE : To

analyze and process low to mid-level auto and transportation claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Processes auto property damage and lower level injury claims; backsses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy.

Develops and maintains action plans to ensure state required contract deadlines are met and to move the file towards prompt and appropriate resolution. Identifies and pursues subrogation opportunities; secures and disposes of salvage. Communicates claim action/processing with insured, client, and agent or broker when appropriate. Maintains professional client relations. Performs coverage, liability,

and damage analysis on all claims assignments. 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. Secure and maintain the State adjusting licenses as required for the position. Experience Three (3) years of personal line or commercial line property claims management experience or equivalent combination of education and experience required to include knowledge of construction basics. Property estimating software experience a plus. Skills & Knowledge Familiarity with personal and commercial lines policies and endorsements Ability to review and backss Property Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims.

Knowledge of total loss processing, State salvage forms and title requirements. Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Good interpersonal 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 NOTE : Credit security clearance, confirmed via a background credit check, is required for this position. 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. 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 $35,200.00. 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. 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. Requisition #: R45198tcv57hlu2

POPULAR
Auto Claims Representative
1
Auto Claims Representative
Sun Prairie, WI
Nov 15, 2023

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Sales orientation: able to solicit, qualify, negotiate and close accounts in a manner that promotes deeper partnership with Agents.

Demonstrated commitment to service and partners; high level of responsiveness UTs SCSMs and renewal UWs demonstrating strong relationship building This job posting provides cursory examples of some of the job duties associated with this position. The examples provided are not complete, and the position may entail other essential and job-related functions and responsibilities that employees will be required to perform. CAREER DEVELOPMENT: It's not just a job, it's a career, and we are here to support you every step of the way. We want you to be successful and fulfilled. Through on-the-job experiences, personalized coaching and our robust learning and development programs, we encourage you - at every level - to grow and develop.

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The company provides equal opportunity for employment and promotion to all qualified employees and applicants on the basis of experience, training, education, and ability to do the available work without regard to race, religion, color, age, interaction/gender, interactionual orientation, national origin, gender identity, disability, marital status, veteran status, genetic information, ancestry or any other status protected by law. Furthermore, The Hanover Insurance Group is committed to providing an equal opportunity workplace that is free of discrimination and harassment based on national origin, race, color, religion, gender, ancestry, age, interactionual orientation, gender identity, disability, marital status, veteran status, genetic information or any other status protected by law.

" As an equal opportunity employer, Hanover does not discriminate against qualified individuals with disabilities. Individuals with disabilities who wish to request a reasonable accommodation to participate in the job application or interview process, or to perform essential job functions, should contact us at: xyz X@ and include the link of the job posting in which you are interested.

Privacy Policy: To view our privacy policy and online privacy statement, click here. Applicants who are California residents: To see the types of information we may collect from applicants and employees and how we use it, please click here. Requisition #: 248326ahf9io63