Claims Technician-Worker's Compensation

Sentry Insurance AgencyStevens Point, WI
22hHybrid

About The Position

Play a key role in claims operations—handling records, payments, mail, and system tasks while working with customers and partners to resolve claims efficiently What You'll Do As a Claims Technician, you will: Analyze and process complex bills, checks, and invoices for proper coding and payment, including payments to law firms, claims suppliers, and injured workers. Research and resolve uncashed checks per company procedures, assist in securing IRS Form W-9 documents and ensure payments are coded properly. Resolve title procurement issues with suppliers and customers. Coordinate document signatures with vehicle owners to align with state title compliance. Work with lenders to secure title and payoff information, letters of guarantee, and title copies. Work with electronic claim documents. Compile, prepare, organize, review, and distribute moderate to complex claims materials to respond to various claims requests, including subpoenas, legal requests, and insurance department complaints. Prepare a variety of state forms/filings according to claims and state regulations, including, reviewing and entering of claim data for proper completion and submission-Including electronic state filings for workers compensation claims. Collaborate with claims associates to schedule medical appointments for injured workers and assist with complex claim referrals, including assembly and review of documents to attorneys, independent medical examiners, and other claims suppliers. Develop and maintain knowledge of jurisdictional requirements and best practices within assigned departments, ensuring all tasks and system edits are completed effectively and in compliance. Some functions may require training for state certification.

Requirements

  • High School Diploma or equivalent work experience
  • Minimum 1 year of related work experience
  • Customer Service experience is highly preferred

Responsibilities

  • Analyze and process complex bills, checks, and invoices for proper coding and payment, including payments to law firms, claims suppliers, and injured workers.
  • Research and resolve uncashed checks per company procedures, assist in securing IRS Form W-9 documents and ensure payments are coded properly.
  • Resolve title procurement issues with suppliers and customers.
  • Coordinate document signatures with vehicle owners to align with state title compliance.
  • Work with lenders to secure title and payoff information, letters of guarantee, and title copies.
  • Work with electronic claim documents.
  • Compile, prepare, organize, review, and distribute moderate to complex claims materials to respond to various claims requests, including subpoenas, legal requests, and insurance department complaints.
  • Prepare a variety of state forms/filings according to claims and state regulations, including, reviewing and entering of claim data for proper completion and submission-Including electronic state filings for workers compensation claims.
  • Collaborate with claims associates to schedule medical appointments for injured workers and assist with complex claim referrals, including assembly and review of documents to attorneys, independent medical examiners, and other claims suppliers.
  • Develop and maintain knowledge of jurisdictional requirements and best practices within assigned departments, ensuring all tasks and system edits are completed effectively and in compliance.
  • Some functions may require training for state certification.

Benefits

  • At Sentry, your total rewards go beyond competitive compensation.
  • 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.
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