Claims Representative Sr - Regional

Posted Yesterday
Be an Early Applicant
Stevens Point, WI
Senior level
Insurance
The Role
The Senior Claims Representative conducts investigations, evaluates claims, authorizes payments, negotiates settlements, and documents processes related to complex claims handling.
Summary Generated by Built In

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 be seated in our Stevens Point, WI - Division Street office under a hybrid work model.

What You’ll Do:

As a Senior Claims Representative with Sentry, this position will be assigned to a Regional General Liability/Business Auto team.  You will provide superior claims handling by conducting prompt claim investigations, which includes evaluating coverage, determining liability, and settlement of damages. In addition, you will:

  • Promptly investigate new 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

  • 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

  • Assign appropriate defense counsel, monitor and approve litigation activities as appropriate

  • Control expenses through close monitoring of litigation activities

  • Pay claims within assigned authority limits

  • Present an overview of specific claims to customers and company associates as appropriate

What it Takes:

  • Bachelor’s degree or related experience

  • 5+ years of related experience required

  • Independently handling caseload of litigated claims highly preferred

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

  • 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 for those who work in an office. 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.

Top Skills

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The Company
HQ: Stevens Point, WI
4,225 Employees
Hybrid Workplace
Year Founded: 1904

What We Do

Your business. Your employees. Your peace of mind. At Sentry, we understand what matters most to you. Because we’ve been there ourselves. We got our start in 1904, when members of the Wisconsin Retail Hardware Association formed their own insurance company. Establishing the company gave members strength in numbers, but it was the true strength of personalized service and Midwestern roots that became hallmarks of the Sentry name.

Today, we’ve grown to become a member of one of the largest and most financially secure insurance groups in the country by never forgetting where we came from. Perhaps that’s why many of our customers have been with us for decades.

And we can be there for you.

Our customers work in a wide range of industries, including transportation, manufacturing, metalworking, construction, auto dealerships, and more. From 401(k) plans and general liability to commercial property and workers’ compensation, we offer the insurance products that can help protect your business and your employees.

Our Stevens Point headquarters is the flagship of our business, which is supported by field offices strategically located throughout the United States. With more than $22.9 billion in assets, a $7.5 billion* policyholder surplus, and an A+ (superior) rating from AM Best,** the industry’s leading rating authority, we continue providing peace of mind.

One conversation at a time.

To learn more about us, the industries we serve, and the products we offer, visit sentry.com.

The content provided here is for informational purposes only: https://www.sentry.com/footer/legal-disclaimer.

*Assets and policyholder surplus are as of December 31, 2022, and represent the aggregate total for all members of the Sentry Insurance Group and are not reflective of any individual underwriting company.

**Sentry has an AM Best Financial Strength Rating (FSR) of A+ (superior), current as of June 2023. For details about AM Best’s rating scale, see ambest.com/ratings/guide.pdf.

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