• Position: Claims Examiner – Commercial Auto Litigation

Position: Claims Examiner – Commercial Auto Litigation
Location: Irving, TX 75063
Duration: 3 Months
Client: Sedgwick 
 

Required Experience

Strong experience in Commercial Auto Claims
Mandatory experience handling Commercial Auto Bodily Injury (BI) Litigation
Experience with high-severity/high-value claims, preferably commercial trucking claims with losses exceeding $1 million
Demonstrated experience handling mid-to-high-level bodily injury claims
Litigation handling experience specifically related to Bodily Injury claims
Experience handling claims with authority/exposure up to $1 million
TPA experience is a plus
Must be licensed in the contiguous 48 states
Strong knowledge of commercial auto policies, coverage, liability principles, and applicable laws
Important: Please do not submit candidates with Property Damage (PD) experience only. This role requires strong Commercial Auto Bodily Injury and Litigation experience.

Primary Responsibilities

Analyze and process commercial auto transportation claims
Review coverage, conduct investigations, determine liability, and evaluate damages
Process and manage commercial auto bodily injury claims
Manage the litigation process for litigated claims
Develop and maintain action plans to ensure state-required contact deadlines are met
Work claims toward prompt, appropriate, and cost-effective resolution
Communicate claim actions and processing with insureds, clients, agents, and brokers as appropriate
Ensure claim files are accurately documented and coded
Participate in and present cases to internal and external stakeholders
Support organizational quality programs and perform other duties as assigned
 

Qualifications

5+ years of commercial auto claims management experience, or an equivalent combination of education and experience
Bachelor's degree preferred
Professional claims certification preferred
Ability to secure and maintain required state adjusting licenses
In-depth knowledge of commercial auto policies, coverage, principles, and applicable laws
Knowledge of medical terminology, claim evaluation, and Medicare compliance
Knowledge of deductibles, sub-limits, SIRs, carrier programs, and large-deductible programs
Strong oral and written communication and presentation skills
Strong negotiation, organizational, and interpersonal skills
Proficiency with Microsoft Office
Ability to work effectively in a fast-paced, team-oriented environment
Ability to meet or exceed service expectations