Claim Representative - Liability/Casualty

Sentry Insurance Agency • Goldsboro, NC

2d • Hybrid

About The Position

Investigate & resolve insurance claims. Manage caseloads, negotiate settlements, & communicate with stakeholders. Requires strong analytical skills of liability, coverage, & negligence. JOB OVERVIEW As a Claims Representative-Liability, you will investigate and resolve insurance claims with a focus on accuracy, efficiency, and fair resolution. In this role, you will independently manage a caseload, negotiate settlements, and communicate with policyholders, vendors, and other key stakeholders. Success in this position requires strong analytical and problem-solving skills to evaluate liability and navigate moderate issues related to coverage, negligence, and damage.

Requirements

• Bachelor’s degree or equivalent work experience
• Minimum 1 year of related work experience
• Ability to review and analyze detailed documents, insurance policies, coverages, medical terminology, and insurance regulations
• Ability to make appropriate claim decisions, prioritize, and manage workload
• Effective verbal and written communication skills
• Technological aptitude
• Demonstrated fundamental negotiation skills

Nice To Haves

• 3 years of claims handling preferred
• Insurance experience and/or coursework highly preferred
• Attorney represented bodily injury experience preferred

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 bodily injury claims based on medical reports, medical bills, and other evidence. Working closely with medical providers 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

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level