Claims Representative - Commercial Liability

Sentry Insurance Agency•Edwardsville, IL

1d•Hybrid

About The Position

Investigate, negotiate and resolve claims in an efficient and effect manner. This role will be filled in Stevens Point, WI – Division Street; Edwardsville, IL; or Madison Wi office locations following our hybrid work model. What You'll Do: As a Claims Representative - Liability, you will: Support customers with empathy and understanding, assisting them through difficult situations and effectively communicating the claims process, the ongoing claim status, and decisions, including the reasoning behind them. Verify coverage by thoroughly reviewing the policy and interpreting policy terms, conditions, and language. Evaluate liability by taking recorded statements from involved parties and witnesses, reviewing police reports, and compiling other pertinent evidence. Negotiate or deny liability based on the investigation outcome. Evaluate physical damage and bodily injury claims based on estimates, photographs, appraisals, medical reports, medical bills, and other evidence. Work closely with medical providers, repair shops, and/or contractors to facilitate necessary and related services or repair work. Establish timely reserves based on the ongoing liability and damage assessments. Negotiate property damage and bodily injury settlements with policyholders, claimants or attorneys, and other insurance carriers to resolve matters within the evaluation. Timely pay claims within assigned authority limits. Comply with industry regulations, legal requirements, and internal policies through thorough documentation of all decisions, correspondence, and discussions that occur throughout the life cycle of the claim. Determine if subrogation exists and work with the subrogation department on recovery of damages. Obtain and maintain state licensing requirements. What it Takes: Bachelors Degree or equivalent work experience Minimum 1 year of related work experience Insurance experience and/or coursework preferred Ability to review and analyze detailed documents, insurance policies, coverages, medical terminology, and insurance regulations Ability to make appropriate claim decisions, prioritize, and manage workload Effective verbal and written communication skills Technology aptitude Demonstrated fundamental negotiation skills 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 Sr joe.larsen@sentry.com 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. Our associates are the most important part of our company. We became one of the most financially strong mutual insurance companies in the U.S. by striving to provide the best possible service to our business customers. We do this by having conversations, forming relationships, and getting to know the people we work with and their businesses. We make that same commitment to our associates. When you join Sentry, we don’t just want you to perform tasks each day. We want you to enjoy your time with us. You’re in the driver’s seat of your career path here—sharing feedback, creating goals, accessing professional development resources, and identifying how you can contribute to both your success and the success of the company. Yes, we work hard. But we work with the purpose of helping others, and with the understanding that there’s more to life than work. We invite you to learn more about us. You’ll find we’re much more than insurance.

Requirements

Bachelors Degree or equivalent work experience
Minimum 1 year of related work experience
Ability to review and analyze detailed documents, insurance policies, coverages, medical terminology, and insurance regulations
Ability to make appropriate claim decisions, prioritize, and manage workload
Effective verbal and written communication skills
Technology aptitude
Demonstrated fundamental negotiation skills

Nice To Haves

Insurance experience and/or coursework preferred

Responsibilities

Support customers with empathy and understanding, assisting them through difficult situations and effectively communicating the claims process, the ongoing claim status, and decisions, including the reasoning behind them.
Verify coverage by thoroughly reviewing the policy and interpreting policy terms, conditions, and language.
Evaluate liability by taking recorded statements from involved parties and witnesses, reviewing police reports, and compiling other pertinent evidence.
Negotiate or deny liability based on the investigation outcome.
Evaluate physical damage and bodily injury claims based on estimates, photographs, appraisals, medical reports, medical bills, and other evidence.
Work closely with medical providers, repair shops, and/or contractors to facilitate necessary and related services or repair work.
Establish timely reserves based on the ongoing liability and damage assessments.
Negotiate property damage and bodily injury settlements with policyholders, claimants or attorneys, and other insurance carriers to resolve matters within the evaluation.
Timely pay claims within assigned authority limits.
Comply with industry regulations, legal requirements, and internal policies through thorough documentation of all decisions, correspondence, and discussions that occur throughout the life cycle of the claim.
Determine if subrogation exists and work with the subrogation department on recovery of damages.
Obtain and maintain state licensing requirements.

Benefits

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.