Claim Representative - Liability/Casualty
Sentry Insurance, Davenport, IA, United States
In this role, you'll investigate and resolve insurance claims with a focus on efficiency and accuracy.
What You'll Do
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 bodily injury claims based on medical reports, medical bills, and other evidence. Work closely with medical providers and/or contractors to facilitate necessary and related services.
Set appropriate claim reserves in a timely manner based on ongoing evaluations of liability. 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 thoroughly documenting all decisions, communications, and activities throughout the entire claims process.
Provide empathetic and supportive service to customers as they navigate challenging situations, clearly explaining the claims process, keeping them informed of their claim process, and communicating decisions along with the reasoning behind them.
Obtain and maintain state licensing requirements.
What It Takes
Bachelor's degree or equivalent work experience.
Minimum 1 year of related work experience.
Insurance experience or coursework highly preferred.
Attorney-user bodily injury experience highly 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.
Technological aptitude.
Demonstrated fundamental negotiation skills.
What You'll Receive
Flexibility
through a scheduled Hybrid work model:
Monday and Friday work from home
optional; Tuesday through Thursday work in office.
In-office workspace and materials for home office; provided equipment before start.
Meal Subsidy
available for associates who report to an office.
401(K) plan with dollar-for-dollar match on first eight percent, plus immediate vesting.
Continuing education and career development through Sentry University (SentryU) and
Tuition Reimbursement
program.
Generous Paid-Time Off plan and Volunteer-Time off.
Group Medical, Dental, Vision, Life insurance, Parental leave, and Health and Wellness
benefits .
Well-being and
Employee Assistance
programs.
Sentry Foundation
gift matching
program.
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.
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What You'll Do
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 bodily injury claims based on medical reports, medical bills, and other evidence. Work closely with medical providers and/or contractors to facilitate necessary and related services.
Set appropriate claim reserves in a timely manner based on ongoing evaluations of liability. 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 thoroughly documenting all decisions, communications, and activities throughout the entire claims process.
Provide empathetic and supportive service to customers as they navigate challenging situations, clearly explaining the claims process, keeping them informed of their claim process, and communicating decisions along with the reasoning behind them.
Obtain and maintain state licensing requirements.
What It Takes
Bachelor's degree or equivalent work experience.
Minimum 1 year of related work experience.
Insurance experience or coursework highly preferred.
Attorney-user bodily injury experience highly 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.
Technological aptitude.
Demonstrated fundamental negotiation skills.
What You'll Receive
Flexibility
through a scheduled Hybrid work model:
Monday and Friday work from home
optional; Tuesday through Thursday work in office.
In-office workspace and materials for home office; provided equipment before start.
Meal Subsidy
available for associates who report to an office.
401(K) plan with dollar-for-dollar match on first eight percent, plus immediate vesting.
Continuing education and career development through Sentry University (SentryU) and
Tuition Reimbursement
program.
Generous Paid-Time Off plan and Volunteer-Time off.
Group Medical, Dental, Vision, Life insurance, Parental leave, and Health and Wellness
benefits .
Well-being and
Employee Assistance
programs.
Sentry Foundation
gift matching
program.
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.
#J-18808-Ljbffr