Claims Representative Senior - Commercial Liability

Sentry Insurance•Stevens Point, WI

10d•Hybrid

About The Position

As a Senior Claims Representative on Sentry’s Commercial Lines – Liability teams, you will independently manage a caseload of commercial automobile claims and provide service through prompt, accurate investigations and claim resolution. The position includes evaluating coverage, liability, damages, and exposures; negotiating settlements; and communicating with policyholders, claimants, attorneys, insurance carriers, and other parties. The caseload includes litigated and non-litigated claims, primarily bodily injury files of mid-level severity and complexity. You will work with legal counsel and insureds on complex time-limited demands and litigated-file defense, and coordinate with repair shops, medical providers, automobile appraisers, and contractors to facilitate related services or repairs. The role requires timely reserve setting, thorough claim documentation, and compliance with industry regulations, legal requirements, and internal policies. The position offers a hybrid schedule, with optional work from home on Mondays and Fridays and in-office work Tuesday through Thursday. Sentry provides technology and tools for both office and home workspaces. The company describes opportunities for ongoing learning and professional growth.

Requirements

Bachelor’s degree or related experience.
At least 3 years of related work experience.
Thorough 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.
Effective verbal and written communication skills.
Ability to handle conflict and negotiate resolutions.
Technology aptitude.

Responsibilities

Conduct prompt claim investigations, including evaluating coverage, determining liability, and settling damages.
Review policies and interpret policy terms, conditions, and language to verify coverage; work with coverage counsel when needed.
Evaluate complex liability by taking recorded statements, reviewing police reports, and compiling other pertinent evidence.
Analyze potential exposures, including potentially high-limit exposures, and resolve claims in the best interests of the insured, claimant, and Sentry.
Evaluate physical-damage and bodily-injury claims and coordinate with repair shops, medical providers, automobile appraisers, and contractors.
Establish timely reserves based on ongoing liability and damage assessments.
Negotiate property-damage and bodily-injury settlements with policyholders, claimants, attorneys, and other insurance carriers.
Manage litigated and non-litigated automobile claims, primarily bodily-injury files of mid-level severity and complexity.
Work with legal counsel and insureds to review and handle complex time-limited demands and the defense of litigated files.
Document decisions, correspondence, and discussions throughout the claim lifecycle and comply with industry regulations, legal requirements, and internal policies.

Benefits

Tuition reimbursement.
Group medical, dental, and vision insurance.
Parental leave.
Pet insurance.
Caregiver leave.
Wellness resources.
HSA, FSA, and Dependent Care FSA options.
Paid time off.
Paid Volunteer Time Off.
100% company match on the first 8% contributed to the 401(k) each pay period; funds vest immediately.
Depending on location, an on-site cafeteria stipend or meal allowance.
Technology and tools for office and home workspaces.