Hybrid Liability Claims Specialist

001 Sentry Insurance Company; Goldsboro (NC); Hybrid; USD 59,000 - 82,000; Full time

Benefits offered by this job

Hybrid work arrangement

Dining stipend or on-site cafeteria

Tuition reimbursement

Comprehensive benefits

Paid time off

401(k) match

Community giving/volunteer

Job summary

001 Sentry Insurance Company is seeking a Claims Representative-Liability to verify coverage, assess liability, and negotiate settlements with claimants and providers. You will review policies, police reports, and medical records, while maintaining thorough documentation and compliance with regulations.

A hybrid work option is available with in-office collaboration several days a week. Ideal candidates have a bachelor’s degree, at least one year of related experience, and strong negotiation and

Qualifications

• Bachelor’s degree or equivalent work experience.
• Minimum 1 year of related work experience.
• Prior attorney rep experience highly preferred.
• Ability to review and analyze detailed documents, insurance policies, coverages, medical bills and records.
• Ability to make appropriate claim decisions, prioritize, and manage workload; time limit demands.
• Effective verbal and written communication skills.
• Demonstrated fundamental negotiation skills.

Responsibilities

• Verify coverage by thoroughly reviewing the 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 physical damage and bodily injury claims based on estimates, photos, appraisals, medical reports, medical bills, and other evidence.
• Coordinate with medical providers, repair shops and contractors to facilitate services.
• Set appropriate claim reserves in a timely manner.
• Negotiate bodily injury settlements with policyholders, claimants, attorneys, and other carriers to reach fair resolutions.
• Ensure claims are paid promptly and within authorized limits.
• Document all decisions, communications, and activities to ensure regulatory and policy compliance.
• Provide empathetic customer service and clearly explain the claims process.

Skills

Bachelor’s degree or equivalent work

Verbal and written communication

Negotiation skills

Policy and documents analysis

Time management

Education

Bachelor’s degree or equivalent work experience

Job description

001 Sentry Insurance Company is seeking a Claims Representative-Liability to verify coverage, assess liability, and negotiate settlements with claimants and providers. You will review policies, police reports, and medical records, while maintaining thorough documentation and compliance with regulations.

A hybrid work option is available with in-office collaboration several days a week. Ideal candidates have a bachelor’s degree, at least one year of related experience, and strong negotiation and