Senior Litigation Adjuster

Sentry Insurance; El Paso (TX); Hybrid; USD 70,000 - 100,000; Full time

Benefits offered by this job

Hybrid work flexibility

Dining on Us

Continuous Learning

Comprehensive Benefits

Work-Life Balance

401(k) match

Giving Back

Job summary

Sentry Insurance in El Paso, TX is seeking a Claims Representative Specialist on our PL - Litigation team to expertly investigate, evaluate, and settle or deny litigated claims. You will negotiate settlements with claimants and their attorneys and document decisions throughout the claim life cycle.

With a Bachelor's degree or equivalent and 5+ years of related experience, you will analyze complex policies, medical reports, and evidence, while mentoring colleagues and upholding regulatory

Qualifications

• Bachelor's degree or equivalent work experience.
• 5+ years of related claims experience.
• Extensive knowledge of litigated claims.
• Ability to review complex documents, policies, medical reports, and regulations.
• Strong writing, communication, and negotiation skills.
• Proven ability to manage workload and prioritize.

Responsibilities

• Investigate and resolve litigated claims; negotiate settlements with claimants and their counsel.
• Verify coverages and review policy terms and language.
• Evaluate liability by reviewing statements, police reports, and evidence.
• Document decisions and communicate throughout life cycle of the claim.
• Mentor other associates and share knowledge.

Skills

Negotiation

Claims knowledge

Document review

Communication

Technology aptitude

Mentoring

Education

Bachelor's degree or equivalent work experience

Job description

Investigate and resolve litigated claims in an efficient and accurate manner- negotiate settlements, and communicate effectively with policyholders, vendors, and other stakeholders.

What You'll Do:

As a Claims Representative Specialist on our PL - Litigation team, you'llprovide prompt claims investigation, evaluation, and settlement or denial of litigated claims. In addition, you will:

• Verify coverages through investigation and reviewing policy terms, conditions, and language. This may require working with coverage counsel in filing declaratory/summary judgements.
• Evaluate liability by taking recorded statements from involved parties and witnesses and reviewing police reports accident scene photos and other pertinent evidence.
• Negotiate claims settlements with claimants and their legal representation within assigned authority limits.
• Comply with industry regulations, legal requirements, and internal policies through thorough documentation of all decisions correspondence and discussions that occur throughout the life cycle of the claim.
• Work with and mentor other associates to share your knowledge, expertise, insights and perspectives to assist others in achieving their goals and enhancing their skills.

What It Takes:

• Bachelor's degree or equivalent work experience
• 5+ years of related work experience
• Extensive claims knowledge with the ability to understand and manage litigated claims
• Ability to review and analyze complex documents, insurance policies, coverages, medical reports, and insurance regulations.
• Ability to make appropriate claims decisions, prioritize, and manage workload
• Advanced writing, communication, and presentation skills
• Advanced conflict resolution and negotiation skills
• Technology aptitude

Here is what you can look forward to as part of our team:

At Sentry, your total rewards go beyond competitive compensation. We're committed to supporting the whole you, which is why we offer a comprehensive package designed to help you thrive both professionally and personally.

• Hybrid Flexibility:Enjoy the best of both worlds. With optional work from home on Mondays and Fridays and join your team in the office Tuesday through Thursday to collaborate and learn. We provide the technology and tools you need for both your office and home workspace from day one.
• Dining on Us:Depending on your location, we may provide a stipend that can be used at our on-site cafeteria or a meal allowance to keep you fueled.
• Continuous Learning:Unlock your potential through Sentry University and take advantage of our tuition reimbursement program.
• Comprehensive Benefits:We support your whole self with group medical, dental, and vision insurance along with parental leave, pet insurance, caregiver leave, and wellness resources. Options for HSA, FSA, and Dependent Care FSA are available.
• Work-Life Balance:Enjoy your generous Paid Time Off allowance to rest and take advantage of paid Volunteer Time Off to support your community.
• Investing in Your Future:We're committed to your long-term financial well-being. We offer a 100% company match on the first 8% you contribute to your 401(k) each pay period, and those funds vest immediately.
• Giving Back:Through the Sentry Foundation, we're proud to support the United Way and make a difference in our communities.

Why Join Sentry?

At Sentry, we believe our people are the heart of our success. We're proud to be recognized for the culture we've built, earning spots on Forbes' lists for America's Best Midsize Employers and Best Employers for New Grads, as well as Newsweek's America's Greatest Workplaces for Women and Diversity. These honors reflect our commitment to your professional satisfaction and growth.

Building on a Legacy

Our future is bright, but it's anchored in a long history of stability. Since our founding in 1904, we've dedicated ourselves to helping businesses protect their futures. That trust has made us one of the largest and most financially stable mutual insurance companies in the U.S. We're proud to have maintained an A+ rating from A.M. Best, the industry's leading authority, for over 30 years.

Your Career, Our Community

Whether you're working at our headquarters in Stevens Point, Wisconsin, or one of our many offices across the country, you'll find a challenging and rewarding environment. Explore theOur Teamstab on our Career Page to see the diverse career paths we offer, with a focus on ongoing development and professional growth.

Ready to own your future? Join us at Sentry, opportunities await!

This position will be staffed out of our major hub offices (Davenport IA, Goldsboro NC, El Paso TX, Nashville TN, or Stevens Point, WI) following the hybrid work model. This role is NOT available for remote work at this time.

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.