Claims Representative - Liability

Sentry Insurance Agency•Goldsboro, NC

4d•Hybrid

About The Position

You will investigate and resolve insurance claims with a focus on accuracy, efficiency, and fair resolution and independently manage caseloads and negotiate settlements.

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 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

Nice To Haves

Prior attorney rep experience highly 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 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