Claims Representative II

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 either our Goldsboro, NC or Davenport, IA office, or has the potential to work from home. What It Takes: As a Claims Representative II, you'll ensure the delivery of quality claim service to our customers, and other parties to a claim, while protecting the assets of Sentry. You'll do this by: Verifying that coverage exist Investigating and gathering information about claims by contacting all parties involved Documenting all decisions, correspondences, reports and discussions Gaining experience in determining liability and setting reserves Evaluating your investigations to make decisions about the claims Learning about determining if subrogation exists and taking steps necessary for recovery What It Takes: Bachelor's Degree or equivalent work experience 1+ years of related work experience Bodily Injury experience highly preferred Knowledge of insurance policies and coverage, claim payment procedures and familiarity with medical terminology preferred Able to make sound decisions while using good judgment in evaluating claims Able to review and interpret complex and detailed documents such as contracts, medical reports and insurance regulations Effective oral and written communication skills Able to maintain confidential information Personal computer and math skills beneficial Ability to pass the required coursework applicable to job duties 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 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 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 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 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.

Created: 2024-10-27