Claims Representative II

Sentry; Stevens Point (WI); Hybrid; USD 63,000 - 88,000; Full time

Job summary

A leading company in insurance is seeking a compassionate Claims Representative II to support customers through the claims process. This role involves investigating claims, ensuring timely decisions, and maintaining clear communication with all parties involved. The position offers flexibility with a hybrid work model and competitive benefits.

Benefits

Flexibility in work schedule

Meal Subsidy

401(K) plan with matching

Tuition Reimbursement

Generous Paid-Time Off

Health and Wellness benefits

Employee Assistance programs

Gift matching program

Qualifications

• 1+ years of related work experience.
• Ability to obtain and maintain state licensing as required.
• Knowledge of insurance policies and coverage preferred.

Responsibilities

• Investigate, evaluate, and resolve claims.
• Document all claim activity and decisions.
• Work closely with health facilities and contractors.

Skills

Detail-oriented

Effective communication

Decision-making

Education

Bachelor’s Degree or equivalent work experience

Job description

We're seeking a compassionate and skilled professional to support customers through the claims process with empathy and clarity. You'll investigate, evaluate, and resolve claims--ranging from minor incidents to more complex cases with bodily injury--while explaining and investigating coverage issues and next steps clearly. Through out this process, you will ensure timely decisions, authorize payments within policy limits, and document all claim activity. You may also encounter claims involving legal matters.

If you're detail-oriented and driven to help others, this is your chance to make a real impact!

This position will report to a Sentry Insurance office, or has the possibility to work remotely from home.

What It Takes:

As a Claims Representative II, you’ll ensure the delivery of quality claim service to our customers, and other parties to a claim, while protecting the assets of Sentry. You’ll do this by:

• Claims being handled will fall under property damage, and bodily injury liability

• Verifying that coverage exist by investigating and gathering information about claims by contacting all parties involved

• Investigate coverage issues

• Take recorded statements and obtain information such as police reports, medical reports, photographs, and more.

• Evaluate damages/eligibility for benefits, determines liability and sets reserves.

• Documenting all decisions, correspondences, reports and discussions

• Settle and pay claims within assigned authority limits on a timely basis.

• Work closely with health facility, repair facility and/or contractors to facilitate necessary services or repair work.

What It Takes:

• Bachelor’s Degree or equivalent work experience

• Ability to obtain and maintain state licensing as required

• 1+ years of related work experience

• Bodily Injury experience highly preferred

• Knowledge of insurance policies and coverage, claim payment procedures and familiarity with medical terminology preferred

• Able to make sound decisions while using good judgment in evaluating claims

• Able to review and interpret complex and detailed documents such as contracts, medical reports and insurance regulations

• Effective oral and written communication skills

• Able to maintain confidential information

• Personal computer and math skills beneficial

• Ability to pass the required coursework applicable to job duties

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.

• In the state of Colorado, b ased on experience and qualifications, the annual salary range is as follows: $63,756 - $87,664.50

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!

Shea Supa

Talent Acquisition Specialist

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 the company

Sentry Insurance is a mutual insurance company specializing in business insurance.

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