Claims Representative II - Workers' Compensation

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 out of our Richmond, VA office location.

What You’ll Do:

As a Claims Representative on our Workers’ Compensation team, you’ll have the opportunity to establish a solid foundation with Sentry by conducting the following duties:

• Analyze claims, set reserves, determine compensability, pay benefits, and settle claims with established dollar authority

• Develop and manage workers' compensation claims action plans to a resolution, coordinate return-to-work efforts, and approve claim payments

• Manage claims of medium exposure and complexity

• Prepare claims for settlement and negotiate a settlement with the best outcome

• Manage and direct all cases to closure in the most efficient and effective way possible

• Communicate claim action and processing with claimant and client in a professional and timely manner

What it Takes:

• Bachelors Degree or related work experience

• 1+ years experience of related work experience

• Posses analytical abilities to review, exercise judgment, and evaluate claims to make sound decisions.

• Effective oral and written communication skills

• Ability to review and interpret complex and detailed documents such as contracts, medical reports, and insurance regulations

• Computer skills, some medical knowledge, and prior insurance experience beneficial

• Ability to obtain and maintain state adjuster licenses as required

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 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 Larsen

Talent Acquisition Specialist

[email protected]

Equal Employment Opportunity

Sentry 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.