Claims Representative II

Provides prompt claim investigation, evaluation and settlement or denial of claims with minor to severe exposures. Provides empathy and understanding and explains policy coverages and claims processes to customers.

Authorizes payments in accordance with assigned authority limit. Documents claim files with all pertinent information and disposition.

Responsible for handling claims having moderately complex negligence, compensability, damage and coverage issues, such as bodily injury.

May include handling low complexity litigation in some claims niches.

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 :

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

Deny coverage where coverage does not exist

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

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 : $62,160 - $85,470

In the state of California, based on experience and qualifications, the annual salary range is as follows : $68,080 - $93,610

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!

Joe Larsen

Talent Acquisition Specialist

[email protected]

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.