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Sentry Insurance

Mutual insurer delivering business insurance coverage

Claims Representative - Liability

Claims AdjudicationConfirmed live in the last 24 hours
Full-timeNo salary listed

About the Job

Requirements

  • A bachelor's degree or equivalent work experience.
  • At least one year of related work experience.
  • Ability to obtain and maintain state licensing requirements.
  • Ability to review and analyze detailed documents, insurance policies, coverages, medical bills, and records.
  • Ability to make appropriate claim decisions, prioritize, manage workload, and meet time-limit demands.
  • Effective verbal and written communication skills.
  • Fundamental negotiation skills.

Responsibilities

  • Investigate and resolve insurance claims accurately and efficiently, achieving fair resolutions while independently managing caseloads and negotiating settlements.
  • Verify coverage by thoroughly reviewing policies and interpreting policy terms, conditions, and language.
  • Evaluate liability by taking recorded statements, reviewing police reports, and compiling other pertinent evidence; negotiate or deny liability based on the investigation outcome.
  • Evaluate physical damage and bodily injury claims using estimates, photos, appraisals, medical reports, medical bills, and other evidence; work with medical providers, repair shops, and/or contractors to facilitate necessary related services.
  • Set appropriate claim reserves promptly based on ongoing liability evaluations.
  • Negotiate bodily injury settlements with policyholders, claimants, attorneys, and other insurance carriers to reach fair resolutions within established guidelines.
  • Ensure claims are paid promptly and within authorized limits.
  • Ensure compliance with industry regulations, legal requirements, and internal policies by documenting decisions, communications, and activities throughout the claims process.
  • Provide empathetic and supportive customer service, explain the claims process, keep customers informed, and communicate decisions and their reasoning.

Desired Qualifications

  • Prior attorney representative experience is highly preferred.

About the Company

Sentry Insurance

Mutual insurer delivering business insurance coverage

Sentry Insurance provides business insurance and retirement plan services for a wide range of industries, including transportation, manufacturing, and construction. Its products cover general liability, commercial property, workers’ compensation, and 401(k) plans to protect organizations and their employees. The company operates as a mutual insurance group that focuses on personalized service, long-term relationships, and financial stability. Its goal is to offer comprehensive risk protection and retirement options while maintaining strong, enduring partnerships with policyholders.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Stevens Point, WI
Founded
1904

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