Job Description

Licensed Auto Claims Adjuster - Bodily Injury Specialist (New York License Required) Location: Miami, FL. Primary Purpose 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; and to identify subrogation of claims and negotiate settlements. Essential Functions and Responsibilities Manage mid-level and higher-level auto commercial and personal lines claims by gathering information to determine exposure; assign reserve values to claims, make claims payments as necessary, and settle claims up to designated authority level. Assess liability and resolve claims within evaluation. Approve and process assigned claims, determine benefits due, and manage action plan pursuant to the claim or client contract. Manage subrogation of claims and negotiate settlements. Communicate claim action with claimant and client. Ensure claim files are properly documented and claims coding is correct. Maintain professional client relationships. Additional Functions and Responsibilities Perform other duties as assigned. Travel 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 Four (4) years of claims management experience or equivalent combination of education and experience required. Skills & Knowledge Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles as applicable to line-of-business. 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. 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. 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. #J-18808-Ljbffr Sedgwick

Job Tags

Similar Jobs