Claims Representative Senior - Commercial Liability
About The Position
As a Senior Claims Representative on our Commercial Liability teams, you'll provide superior service by conducting prompt claim investigations, which includes evaluating coverage, determining liability, and settlement of damages across multiple lines of business. In addition, you will: Verify coverages by thoroughly reviewing the policy and interpreting policy terms, conditions, and language, which may require working with coverage counsel. Evaluate complex liability by taking recorded statements from involved parties and witnesses, reviewing police reports, and compiling other pertinent evidence. Analyze all potential exposures, potentially high limit exposures, and resolve claims in the best interest of the insured, claimant, and Sentry. Evaluate physical damages and bodily injury claims, working closely with repair shops, medical providers, automobile appraisers, and/or contractors to facilitate necessary and related services or repair work. Establish timely reserves based on the ongoing liability and damage assessments, negotiating property damage and bodily injury settlements with policyholders, claimants, and attorneys, and other insurance carriers. Manage a case load of litigated and non-litigated claims, most of which will be bodily injury files of mid–level severity and complexity. Work with legal counsel and the insured to appropriately review and handle complex time limited demands and the defense of litigated files. Comply with industry regulations, legal requirements, and internal polices through thorough documentation of all decisions, correspondence, and discussions that occur throughout the life cycle of the claim.
Requirements
- Bachelor’s degree or related experience
- 3+ years of related work experience
- Thorough claims knowledge of claims and claims processes
- Ability to review and analyze complex documents, insurance policies, coverages, medical reports, and insurance regulations
- Ability to make appropriate claim decisions, prioritize, and manage workload
- Demonstrated effective verbal and written communication skills
- Ability to handle conflict and negotiate resolutions
- Technology aptitude
Responsibilities
- Conduct prompt claim investigations, evaluating coverage, determining liability, and settlement of damages across multiple lines of business.
- Verify coverages by thoroughly reviewing the policy and interpreting policy terms, conditions, and language.
- Evaluate complex liability by taking recorded statements from involved parties and witnesses, reviewing police reports, and compiling other pertinent evidence.
- Analyze all potential exposures, potentially high limit exposures, and resolve claims in the best interest of the insured, claimant, and Sentry.
- Evaluate physical damages and bodily injury claims, working closely with repair shops, medical providers, automobile appraisers, and/or contractors to facilitate necessary and related services or repair work.
- Establish timely reserves based on the ongoing liability and damage assessments.
- Negotiate property damage and bodily injury settlements with policyholders, claimants, and attorneys, and other insurance carriers.
- Manage a case load of litigated and non-litigated claims, most of which will be bodily injury files of mid–level severity and complexity.
- Work with legal counsel and the insured to appropriately review and handle complex time limited demands and the defense of litigated files.
- Comply with industry regulations, legal requirements, and internal polices through thorough documentation of all decisions, correspondence, and discussions that occur throughout the life cycle of the claim.
Benefits
- Competitive compensation
- Hybrid work model
- In-office workspace and materials for home office
- Equipment for home office
- Meal Subsidy
- 401(K) plan with a dollar for dollar match on your first eight percent, plus immediate vesting
- Sentry University (SentryU)
- Tuition Reimbursement program
- Generous Paid-Time Off plan
- Volunteer-Time off
- Group Medical, Dental, Vision, Life insurance
- Parental leave
- Health and Wellness benefits
- Well-being and Employee Assistance programs
- Sentry Foundation gift matching program
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What This Job Offers
Job Type
Full-time
Career Level
Senior
