Claims Legal Specialist - Conditional Demands

Sentry Insurance Group; Phoenix (AZ); Hybrid; USD 90,000 - 130,000; Full time

Job summary

Sentry Insurance Group is seeking a senior subject matter expert to resolve conditional demands from counsel for claimants. You will provide technical guidance to claims associates on conditional demands in multiple states and contribute to the creation of training content, policies, and procedures that ensure consistent, compliant handling.

The role requires strong analytical, communication, and presentation skills, and includes the opportunity to influence claims practices in light of

Qualifications

• Bachelor’s degree or equivalent work experience; JD preferred.
• Minimum 8 years of related work experience.
• Experience handling conditional demands across states (CA, FL, TX, GA, or SC) desirable.
• Strong knowledge of conditional demands and claims handling.
• Excellent analytical, communication, and presentation skills.

Responsibilities

• Act as a subject matter expert on conditional demands for claimants.
• Provide technical advice and guidance to claims associates on conditional demands in multiple states.
• Recommend changes in claims handling based on legislation or court decisions and trends.
• Provide direction and guidance to other claims associates on complex demands.
• Serve as trusted advisor to front-line claims file handlers on conditional demands.
• Develop and guide managers on handling demands with extra contractual liability and excess verdict risks.
• Design and implement countrywide programs and practices for conditional demands.
• Collaborate with claims management and legal on best practices.
• Coordinate with claims units for consistent, quality handling.

Skills

Analytical skills

Communication skills

Presentation skills

Interpersonal skills

Self-management

Education

Bachelor’s degree or equivalent work experience

Juris Doctor preferred

Job description

Full job description: Acts as a subject matter expert on requirements to properly resolve matters when Sentry is faced with a conditional demand from counsel for a claimant. Provides technical advice, instruction, and guidance to claims associates on conditional demands in various states on a daily basis. Effectively participates in the development of technical content and implementation of training programs to ensure understanding of claims standards, policies, procedures, and processes around conditional demands. Recommends changes in claims handling practices based on legislative action or court decisions as well as trends in the insurance industry and legal landscape.

What You’ll Do

• Act as a subject matter expert on requirements to properly resolve matters when Sentry is faced with a conditional demand from counsel for a claimant.
• Provide technical advice and guidance to claims associates on conditional demands in various states.
• Recommend changes in claims handling practices based on legislative action or court decisions and trends in the insurance industry.
• Provide technical advice, direction, and guidance to other claims associates as needed, including instruction and authority on all complex conditional settlement demands received by enterprise.
• Work with front-line claims file handlers as a trusted advisor on a day-to-day basis regarding conditional demands received.
• Develop and guide claim managers and claim representatives on how to properly handle demands that subject Sentry and its insureds to extra contractual liability and excess verdict risks.
• Design and implement programs and practices related to conditional demands for use countrywide.
• Collaborate with claims management and legal regarding best practices for handling conditional demands in a variety of states.
• Coordinate with various claims units to provide consistent, quality claims handling of complex conditional demands.

What It Takes

• Bachelor’s degree or equivalent work experience required; Juris Doctor preferred.
• Minimum 8 years of related work experience.
• Experience in handling conditional demands, preferably including bodily injury claims, on behalf of an insurer as an attorney, technical specialist, claims manager, or similar role sufficient in one or more of the following states: CA, FL, TX, GA, or SC.
• Expertise with conditional demands across multiple states, including legal requirements, claims handling best practices, and risks involved.
• Technical expertise in claims processes, procedures, and laws and thorough understanding of conditional demand requirements across multiple states; knowledge of claims handling operations.
• Strong analytical, communication, presentation, and human relation skills.
• Ability to self-manage in a role requiring a high degree of technical skill.

What You’ll Receive

• Potential to work remotely from home or a hybrid work model (Monday and Friday work from home if you choose to, Tuesday through Thursday in office).
• In-office workspace and materials for home office; laptop and equipment provided prior to start.
• Meal subsidy for associates who report to an office.
• 401(k) plan with a dollar-for-dollar match on your first eight percent and immediate vesting.
• Continuing education and career development through Sentry University 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.
• Foundations gift matching program to encourage charitable giving.

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.