Claims Representative II - National Accounts

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 assist customers.



Provides prompt claim investigation, evaluation and settlement or denial of claims with minor to severe exposures. Provides empathy and understanding and explains policy coverages and claims processes to customers. Authorizes payments in accordance with assigned authority limit. Documents claim files with all pertinent information and disposition. Responsible for handling claims having moderately complex negligence, compensability, damage and coverage issues, such as bodily injury. May include handling low complexity litigation in some claims niches.This position will be located in our Stevens Point, WI Office. What You ll Do:Our Claim Representatives provide superior customer service by conducting prompt claim investigations, which includes evaluating coverage, determining liability, and settlement of damages. In addition, you ll:

• Promptly investigate new commercial claims
• Review coverage forms and contracts to interpret applicable coverage then communicate the analysis to our customers
• Evaluate the facts and develop and execute plans to resolve claims
• Document all decisions, correspondences, reports, and discussions
• Negotiate the settlement of claims with claimants and their legal counsel
• Pay claims within assigned authority limits
• Interpret coverage and communicate the analysis to our customers
• Present an overview of specific claims to customers and company associatesWhat it Takes:
  • Bachelor s degree or related experience
  • One year of related work experience required
  • Knowledge of insurance policies and coverage, claim payment procedures, insurance regulations, and familiarity with medical and legal terminology is preferred
  • Previous insurance experience and/or coursework are required
  • Analytical skills to review, exercise judgment and evaluate claims to make sound decisions
  • Ability to review and interpret complex and detailed documents
  • Effective oral and written communication skills
  • Ability to maintain confidential information
  • Effective computer and math skills beneficialWhat 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 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, casualty, claim adjuster, claim examiner, damage, fraud, insurance investigator, investigate, liability, title examiner

Keywords: Sentry, Appleton , Claims Representative II - National Accounts, Other , Stevens Point, Wisconsin