Claims Representative Sr

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 moderate to 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. Fully experienced claims handler. Responsible for handling claims having complex negligence, compensability, damage and coverage issues. May handle claims requiring litigation and is accumulating expertise in specified jurisdictional areas. May be required to attend mediation, hearings, settlement conferences and trials.

This position will sit in our Edwardsville, Il or Stevens Point, WI office with the potential to work remotely from home.

 

What You’ll Do:

As a Senior Claims Representative with Sentry, you'll 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 transportation 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 bodily injury and property damage claims

• Review medical documentation to determine the value of bodily injury claims

• Document all decisions, correspondence, reports, and discussions

• Negotiate the settlement of bodily injury and property damage 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 associates

 

What it Takes:

• Bachelor’s degree or related experience

• 5+ years of bodily injury claims experience required; transportation experience preferred

• Knowledge of insurance policies and coverage, claim payment procedures, insurance regulations, and familiarity with medical and legal terminology is preferred

• Prior experience with large exposure catastrophic type injuries

• Background in handling a caseload of litigated files

• 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 beneficial

 

What 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 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 since 2017. 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 offi