Claims Representative Specialist
Company: Sentry
Location: Stevens Point
Posted on: April 18, 2024
Job Description:
A Customer Service Professional position requiring creativity,
empathy, interpersonal skills and a strong desire to help.
Provides prompt claim investigation, evaluation and settlement or
denial of claims with highly complex exposures. Provides empathy
and understanding to customers that may be upset or frustrated.
Authorizes payments in accordance with assigned authority limit.
Documents claim files with all pertinent information and
disposition. Highly experienced claims handler. Responsible for
handling claims having highly complex negligence, compensability,
damage and coverage issues. Handles litigation pending claims. Is
the jurisdictional expert and acts as a resource for others.
Frequently attends mediation and settlement conferences and trials.
May be involved in formal training efforts and acts as a
mentor.What You ll Do:
- As a Claims Representative Specialist on our Commercial
Liability team, you ll provide prompt claim investigation,
evaluation, and settlement or denial of claims with higher
complexity of coverage involving litigation. In addition, you
ll:
- Verify coverages and coverage investigation issuing reservation
of rights and/or disclaimers
- Investigate losses, and negotiate claims settlements with
claimants and their legal representation within assigned authority
limits
- Manage investigative process by taking recorded statements,
obtaining investigative reports, evaluating damages or eligibility
for benefits, and determining legal responsibility
- Maintain accurate documentation of investigative facts and
decisions that occur during the investigation, evaluation, or
resolution processes.
- Strategize with defense bar to defend our insureds in business
related liability exposures
- Assist the claims team with training and providing technical
claims knowledge What it Takes:
- Bachelor s degree or equivalent work experience
- 5+ years of related work experience
- Thorough knowledge of insurance policies, coverage, claim
procedures, insurance regulations, litigation management, and
familiarity with medical and legal terminology
- Strong analytical abilities to review, exercise judgment, and
evaluate claim information to make sound decisions
- Strong oral and written communication skills with the ability
to maintain confidentiality
- Ability to review and interpret complex and detailed
documents
- High level of computer skillsWhat You'll Receive:At Sentry,
your total rewards go beyond competitive compensation. Below are
some benefits and perks that you ll receive.
- Sentry is happy to offer flexibility through a scheduled Hybrid
work model. Monday and Friday work from home if you choose to,
Tuesday through Thursday you ll work in office.
- As a Sentry associate, you will have an in-office workspace and
materials for your home office. In addition to the laptop, you will
receive prior to your start, Sentry will provide equipment for your
home office.
- Meal Subsidy available for associates who report to an
office.
- 401(K) plan with a dollar for dollar match on your first eight
percent, plus immediate vesting to help strengthen your financial
future.
- Continue your education and career development through Sentry
University (SentryU) and utilize our Tuition Reimbursement
program
- Generous Paid-Time Off plan for you to enjoy time out of the
office as well as Volunteer-Time off
- Group Medical, Dental, Vision, Life insurance, Parental leave,
and our Health and Wellness benefits to encourage a healthy
lifestyle.
- Well-being and Employee Assistance programs
- Sentry Foundation gift matching program to encourage charitable
giving.About Sentry:We take great pride in making Forbes list of
America s Best Midsize Employers. A lot of different factors go
into that honor, many of which contribute to your job
satisfaction.Our bright future is built on a long track record of
success. We got our start in 1904 and have been helping businesses
succeed and protect their futures ever since. Because of the trust
placed in us, we re one of the largest and financially strongest
mutual insurance companies in the United States. We re rated A+ by
A.M. Best, the industry's leading rating authority.Our headquarters
is in Stevens Point, Wisconsin, with offices located throughout the
United States. From sales to claims, and information technology to
marketing, we enjoy a rewarding and challenging work environment
with opportunities for ongoing professional development and
growth.Get ready to own your future at Sentry. Opportunities
await!Joe LarsenTalent Acquisition Specialist...@sentry.comEqual
Employment OpportunitySentry is an Equal Opportunity Employer. It
is our policy that there be no discrimination in employment based
on race, color, national origin, religion, sex, disability, age,
marital status, or sexual orientation. Associated topics: auto,
automobile, claim adjuster, claim investigator, claimant, fraud,
insurance, insurance adjuster, insurance investigator,
liability
Keywords: Sentry, Appleton , Claims Representative Specialist, Other , Stevens Point, Wisconsin
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