Claims Representative I

Sentry; Richmond (VA); Hybrid; USD 40,000 - 80,000; Full time

Job summary

Join a forward-thinking company as a Claims Representative on the Workers’ Compensation team. In this role, you will analyze claims, develop action plans, and negotiate settlements, all while providing exceptional service to policyholders. This position offers a unique opportunity to make a significant impact by ensuring quality claim service and supporting injured workers. Sentry values its associates and offers a hybrid work model, competitive benefits, and opportunities for professional development. If you are looking for a rewarding career where you can grow and make a difference, this is the perfect opportunity for you.

Benefits

Flexible Hybrid Work Model

Meal Subsidy

401(K) Plan with Match

Tuition Reimbursement

Generous Paid-Time Off

Group Medical, Dental, Vision Insurance

Employee Assistance Programs

Gift Matching Program

Qualifications

• Bachelor's degree preferred or related work experience.
• Knowledge of insurance policies and medical terminology helpful.

Responsibilities

• Analyze claims, set reserves, and settle claims efficiently.
• Manage and direct all cases to closure effectively.

Skills

Analytical Skills

Decision Making

Communication Skills

Organizational Skills

Confidentiality

Education

Bachelor's Degree

Related Work Experience

Tools

Computer Proficiency

Job description

Start your career at Sentry! Join our Workers’ Comp Claims team and support our policyholders, who with your efforts, view us as a valuable partner. Our Claims Representatives ensure the delivery of quality claim service to our customers, the injured worker, and other parties to the claim while protecting the assets of Sentry.

This position will be located at the Richmond, VA office.

What You’ll Do

As a Claims Representative on our Workers’ Compensation team, you’ll have the opportunity to establish a solid foundation with Sentry by conducting the following duties:

• Analyze claims, set reserves, determine compensability, pay benefits, and settle claims with established dollar authority.
• Develop and manage workers' compensation claims action plans to a resolution, coordinate return-to-work efforts, and approve claim payments.
• Prepare claims for settlement and negotiate a settlement with the best outcome.
• Manage and direct all cases to closure in the most efficient and effective way possible.
• Communicate claim action and processing with claimant and client in a professional and timely manner.

What it Takes

• Bachelor’s degree preferred or related work experience.
• Knowledge of insurance policies and medical terminology helpful.
• Ability to make sound decisions while using good judgment in evaluating claims.
• Effective oral and written communication skills.
• Ability to maintain highly confidential information.
• Ability to review and interpret complex and detailed documents such as contracts, medical reports, and insurance regulations.
• Ability to multi-task, prioritize, and remain organized.
• Effective and efficient at working a computer.

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!

Talent Acquisition Specialist: Shea Supa

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.

About Us

Our associates are the most important part of our company. We became one of the most financially strong mutual insurance companies in the U.S. by striving to provide the best possible service to our business customers. We do this by having conversations, forming relationships, and getting to know the people we work with and their businesses.

We make that same commitment to our associates. When you join Sentry, we don’t just want you to perform tasks each day. We want you to enjoy your time with us. You’re in the driver’s seat of your career path here—sharing feedback, creating goals, accessing professional development resources, and identifying how you can contribute to both your success and the success of the company.

Yes, we work hard. But we work with the purpose of helping others, and with the understanding that there’s more to life than work. We invite you to learn more about us. You’ll find we’re much more than insurance.