Claims Representative Specialist - PL Litigation

Title: Claims Representative Specialist - PL Litigation

• Stevens Point, WI
• Richmond, VA
• Nashville, TN
• Goldsboro, NC
• Davenport, IA

time type Full time

Job Description:

In this role, you’ll investigate and resolve insurance claims in an efficient and accurate manner. You’ll independently manage a caseload, negotiate settlements, and communicate effectively with policyholders, vendors, and other stakeholders. You’ll leverage your strong analytical, decision-making, and problem-solving skills to determine liability and ensure fair claim resolutions. You’ll proactively work to manage medical and damage complexity and severity, and handle claims with complex coverage, negligence, and damage issues, including litigated claims where the policy holder and/or Sentry have been sued

This position will be located in our Stevens Point - Division Street office, Davenport, IA office, Goldsboro, NC office, Nashville, TN office, or Richmond, VA office locations.

What You’ll Do:

As a Claims Representative Specialist on our PL – Litigation team, you’ll provide prompt claim investigation, evaluation, and settlement or denial of claims of high complexity. In addition, you’ll:

• Handle complex claims involving litigation, as well as high severity non-litigated exposures.

• Verify coverages and coverage investigation issuing reservation of rights and/or disclaimers

• Investigate losses, and negotiate claims settlements with claimants and their legal representation within assigned authority limits

• Manage investigative process by taking recorded statements, obtaining investigative reports, evaluating damages or eligibility for benefits, and determining legal responsibility

• Maintain accurate documentation of investigative facts and decisions that occur during the investigation, evaluation, or resolution processes.

• Strategize with defense bar to defend our insureds in business related liability exposures

• Assist the claims team with training and providing technical claims knowledge

What it Takes:

• Bachelor’s degree or equivalent work experience

• 5+ years of related work experience

• Thorough knowledge of insurance policies, coverage, claim procedures, insurance regulations, litigation management, and familiarity with medical and legal terminology

• Strong analytical abilities to review, exercise judgment, and evaluate claim information to make sound decisions

• Effective oral and written communication and human relations skills with the ability to maintain confidentiality

• Ability to review and interpret complex and detailed documents

• High level of computer 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!

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.