Principal Claims Representative-Liability
About The Position
Investigate and resolve complex claims, manage caseloads, negotiate settlements, communicate with stakeholders, and mentor reps using analytical judgment. This position will be located in our Stevens Point, WI – Division Street office under our hybrid work model. What You’ll Do: As a Principal Claims Representative - Liability, you will leverage your strong analytical, decision-making, and problem solving skills to determine liability and ensure fair claims resolutions In addition, you will… Verify coverage by thoroughly reviewing the policy and interpretating policy terms, conditions, and language. This may require working with coverage counsel on complex policy or contract interpretation. Evaluate liability by taking recorded statements from involved parties and witnesses, 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, photographs, appraisals, medical reports, medical bills, and other evidence. Work closely with medical providers, repair shops, and/or contractors to facilitate necessary and related services or repair work. Mentor other associates to share your knowledge, expertise, insights, and perspectives and assist the mentee in achieving their goals and enhancing their skills. Comply with industry regulations, legal requirements, and internal policies through thorough documentation of all decisions, correspondence, and discussions that occur throughout the life cycle of the claim.
Requirements
- Bachelor’s degree or equivalent experience
- 7+ years of related work experience
- Demonstrated expertise in technical claims with ability to understand and manage litigated claims
- Ability to successfully mentor
- Ability to review and analyze the most complex documents, insurance policies, coverages, medical reports, and insurance regulations for construction defect claims
- Ability to make appropriate claim decisions, prioritize, and manage workload
- Superior writing, communication, and presentation skills
- Expertise in conflict resolutions and negotiation
- Technology aptitude
- Must have ability to travel as necessary to satisfactorily complete their job responsibilities
Responsibilities
- Verify coverage by thoroughly reviewing the policy and interpretating policy terms, conditions, and language.
- Evaluate liability by taking recorded statements from involved parties and witnesses, 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, photographs, appraisals, medical reports, medical bills, and other evidence.
- Work closely with medical providers, repair shops, and/or contractors to facilitate necessary and related services or repair work.
- Mentor other associates to share your knowledge, expertise, insights, and perspectives and assist the mentee in achieving their goals and enhancing their skills.
- Comply with industry regulations, legal requirements, and internal policies through thorough documentation of all decisions, correspondence, and discussions that occur throughout the life cycle of the claim.
Benefits
- Hybrid work model
- In-office workspace and materials 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
Principal
