Claims Legal Specialist - Conditional Demands

Sentry Insurance LLP; Scottsdale (AZ); Hybrid; USD 90,000 - 130,000; Full time

Benefits offered by this job

Hybrid work model

401(K) plan with match

Tuition Reimbursement

Meal Subsidy

Generous Paid-Time Off

Job summary

A leading insurance company is seeking a Claims Legal Specialist with extensive experience in handling conditional demands. This role provides technical guidance and resolves complex claims issues, while collaborating with various teams to establish best practices. Candidates should possess a Bachelor's degree, a minimum of 8 years in the field, and strong analytical and communication skills. Offered benefits include a hybrid work model, 401(K) plans, and comprehensive health coverage, ensuring a supportive work environment.

Qualifications

• Minimum 8 years of related work experience.
• Expertise with conditional demands across multiple states.
• Ability to self-manage in a role requiring high technical skill.

Responsibilities

• Act as an expert on resolving conditional demands from counsel.
• Provide technical advice to claims associates.
• Design and implement programs for handling demands.

Skills

Technical expertise

Analytical skills

Communication skills

Human relation skills

Education

Bachelor’s degree or equivalent work experience

Juris Doctor

Job description

Overview

Subject matter expert on requirements to properly resolve matters when faced with a conditional demand and assist in the development and implementation of claims standards. This position will be located at Sentry's Stevens Point, WI - Division Street office, Davenport, IA office, Scottsdale, AZ office, Goldsboro, NC office, or Madison, WI office location.

What You’ll Do

Our Claims Legal Specialist will act as an expert on requirements to properly resolve matters when Sentry is faced with a conditional demand from counsel for a claimant. This position provides technical advice and guidance to claims associates on conditional demands in various states, and recommends changes in claims handling practices based on legislative action or court decisions and trends in the insurance industry. In addition, you will…

• Act as a subject matter expert, provide technical advice, direction, and guidance to other claims associates as need arises including instruction and authority on all complex conditional settlement demands received by the enterprise.

• Work with front line claims file handlers as a trusted advisor on a day-to-day basis with regards to conditional demands received.

• Develop and guide claim managers and claim representatives on how to properly handle demands that subject Sentry and its insured/defendant to extra contractual liability, and excess verdict risks.

• Design and implement programs and practices relating to conditional demands for use countrywide. Collaborate with claims management and legal with regards to best practices for handling conditional demands in variety of states.

• Coordinate with various claims units to provide consistent, quality claims handling of complex conditional demands.

• Participate in strategy planning and recommend courses of action to achieve best outcomes for insured and enterprise.

• Remain abreast of changes in law impacting operations as related to conditional demands across all fifty states.

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 more of the following states to develop a high degree of technical expertise: CA, FL, TX, GA, or SC. While experience as a practicing attorney is beneficial, this is not a practicing attorney position, and no license to practice law is required

• 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 as well as a 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

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 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 since 2017. 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

[e-mail]

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.