Liability Claims Specialist (Hybrid Work)

Sentry Insurance; Jacksonville (FL); Hybrid; USD 50.000 - 80.000; Vollzeit

Benefits dieser Stelle

Hybrid work flexibility

Dining on Us/Meal stipend

Tuition reimbursement

Comprehensive benefits

Paid time off

401(k) match

Volunteer time off

Giving back via community programs

Zusammenfassung

Sentry Insurance is seeking a Claims Representative-Liability to independently manage caseloads and negotiate settlements with a focus on accuracy and fairness. You will verify coverage, assess liability, and collaborate with providers to support claims from start to finish.

The role requires a Bachelor's degree or equivalent experience, at least 1 year in claims or related work, and strong communication and negotiation skills.

Qualifikationen

• 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.

Aufgaben

• 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. Working closely with medical providers, repair shops and/or contractors to facilitate necessary and related services.
• Set appropriate claim reserves in a timely manner based on ongoing evaluations of liability. Negotiate bodily injury settlements with policyholders, claimants, attorneys, and other insurance carriers to reach fair resolutions within established guidelines. Ensure claims are paid promptly and within authorized limits.
• Ensure compliance with industry regulations, legal requirements, and internal policies by thoroughly documenting all decisions, communications, and activities throughout the entire claims process.
• Provide empathetic and supportive service to customers as they navigate challenging situations, clearly explaining the claims process, keeping them informed of their claim process, and communicating decisions along with the reasoning behind them.
• Ability to obtain and maintain state licensing requirements.

Kenntnisse

Verbal communication

Written communication

Negotiation skills

Policy review

Attention to detail

Ausbildung

Bachelor's degree or equivalent work experience

Jobbeschreibung

Sentry Insurance is seeking a Claims Representative-Liability to independently manage caseloads and negotiate settlements with a focus on accuracy and fairness. You will verify coverage, assess liability, and collaborate with providers to support claims from start to finish.

The role requires a Bachelor's degree or equivalent experience, at least 1 year in claims or related work, and strong communication and negotiation skills.