Claims Representative Senior - Commercial Liability

About the role

Investigate and resolve insurance claims in an efficient and accurate manner. You’ll independently manage a caseload, negotiate settlements, and communicate with all parties. This position will be located in our Stevens Point, WI; Nashville, TN; Davenport, IA; Goldsboro, NC; Madison, WI; El Paso, TX; or Edwardsville, IL office locations under a hybrid work model.

Responsibilities

• Provide superior service by conducting prompt claim investigations, which includes evaluating coverage, determining liability, and settlement of damages.
• Verify coverages by thoroughly reviewing the policy and interpreting policy terms, conditions, and language, which may require working with coverage counsel.
• Evaluate complex liability by taking recorded statements from involved parties and witnesses, reviewing police reports, and compiling other pertinent evidence.
• Analyze all potential exposures, potentially high limit exposures, and resolve claims in the best interest of the insured, claimant, and Sentry.
• Evaluate physical damages and bodily injury claims, working closely with repair shops, medical providers, automobile appraisers, and/or contractors to facilitate necessary and related services or repair work.
• Establish timely reserves based on the ongoing liability and damage assessments, negotiating property damage and bodily injury settlements with policyholders, claimants, and attorneys, and other insurance carriers.
• Manage a case load of litigated and non-litigated automobile claims, most of which will be bodily injury files of mid-level severity and complexity.
• Work with legal counsel and the insured to appropriately review and handle complex time limited demands and the defense of litigated files.
• Comply with industry regulations, legal requirements, and internal polices through thorough documentation of all decisions, correspondence, and discussions that occur throughout the life cycle of the claim.

Requirements

• Bachelor’s degree or related experience
• 3+ years of related work experience
• Thorough claims knowledge of claims and claims processes
• Ability to review and analyze complex documents, insurance policies, coverages, medical reports, and insurance regulations
• Ability to make appropriate claim decisions, prioritize, and manage workload
• Demonstrated effective verbal and written communication skills
• Ability to handle conflict and negotiate resolutions
• Technology aptitude

Qualifications

• Bachelor’s degree or related experience
• 3+ years of related work experience
• Thorough claims knowledge of claims and claims processes
• Ability to review and analyze complex documents, insurance policies, coverages, medical reports, and insurance regulations
• Ability to make appropriate claim decisions, prioritize, and manage workload
• Demonstrated effective verbal and written communication skills
• Ability to handle conflict and negotiate resolutions
• Technology aptitude

Skills

• Thorough claims knowledge of claims and claims processes
• Ability to review and analyze complex documents, insurance policies, coverages, medical reports, and insurance regulations
• Ability to make appropriate claim decisions, prioritize, and manage workload
• Demonstrated effective verbal and written communication skills
• Ability to handle conflict and negotiate resolutions
• Technology aptitude

Benefits

• 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.
• Sentry University (SentryU) and Tuition Reimbursement program for continued education and career development.
• 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.