Experienced
Claims Representative II-Liability-Goldsboro, NC
ANNOUNCEMENTS AND JOBS PAGE
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Experienced
Claims Representative II-Liability-Goldsboro, NC
Full-Time Position
Sentry Insurance
Apply at www.Sentry.com
About Sentry
Insurance:
Sentry Insurance is one of
the country's largest and strongest mutual insurance companies. Sentry was
founded in 1904 by members of the Wisconsin Retail Hardware Association.
Today, Sentry has more than $10 billion in assets, a policyholder surplus of
$2.8 billion and total revenue in excess of $2.4 billion.
Sentry Insurance is headquartered in
Sentry offers a full line of property, casualty
and life insurance products to protect businesses, cars, homes, lives and
retirement incomes.
Responsibilities:
Verifies
coverages and investigates losses by gathering pertinent information.
Takes
recorded statements, obtains pertinent information i.e., police and medical
reports, appraisals, estimates, photographs, degree of disability,
rehabilitation potential, etc., and evaluates damages/eligibility for
benefits, determines liability and sets reserves.
Evaluates
claims and charges submitted by insureds and medical providers to determine
eligibility for benefits, checking for misrepresentation, preexisting
conditions and mandated state benefits if applicable.
Documents
all decisions, correspondence, reports and discussions that occur during the
investigation.
Denies
coverage where coverage does not exist.
Settles
and pays claims within assigned authority limits.
Detects
potential problems or trends that require additional review, investigation or
research and refers to Senior Claim Representative or Claim Manager for
resolution.
Advises
the Claim Department of any special problems i.e., questionable repair shops.
Obtains
and maintains state adjuster licenses as required.
Receives
claim assignments from established workflow and systems.
Adheres
to state specific compliance issues for assigned jurisdictions.
Confers
with higher level technical claim personnel for guidance and direction to
ensure the file is handled properly.
Completes
claim by evaluating the loss and settling the claim.
Determines if subrogation exists and takes steps necessary for recovery.
Coordinates the payment of benefits with other insurance carriers if
applicable.
Monitors
claim files during initial and residual periods to ensure file currency.
Refers
the payment or denial of claims that exceed assigned authorization limits to
Senior Claim Representative or Claim Manager with settlement recommendation.
Works
closely with health facility, repair facility and/or contractors to facilitate
necessary services or repair work.
Notifies
Underwriting of any adverse findings on a particular risk.
Accurately codes data submitted to outside agencies or other Sentry functions.
Provides
pertinent background information to legal counsel and assists as possible in
reaching an in-court or out-of-court settlement in litigation situations.
Participates in administering fraud control procedures, evaluating and
preparing reports, and drafting responses to formal complaints.
Performs
other job-related duties requiring the same general knowledge, skills and
degree of responsibility commensurate with assigned level.
Qualifications:
Bachelors
Degree or equivalent work experience.
2-4 years
of auto liability casualty claims experience.
Knowledge
of insurance policies and coverages, claim payment procedures, and familiarity
with medical terminology preferred.
Previous
insurance experience and/or coursework beneficial.
Possess
analytical abilities to review, exercise judgment, and evaluate claims to make
sound decisions.
Able to
review and interpret complex and detailed documents such as contracts, medical
reports and insurance regulations.
Effective
oral and written communication skills and human relations skills.
Ability
to maintain confidentiality.
Personal
computer and math skills beneficial.
Ability
to meet the travel requirements of the job to include business related
assignments,
with limited notice, as business needs arise. Travel may include
driving, flying or any other necessary form of transportation.
Compensation and
Benefits:
The
starting salary is dependent on experience and qualifications.
Sentry's
excellent benefits package is designed to meet today's most important needs.
Benefits for full-time Sentry Insurance employees include:
• Group
Health And Dental Insurance
•
Prescription Eyewear Plan
• Group
Life Insurance
• 401(K)
Plan With Matching Funds
•
Retirement Plan
•
Paid-Time Off Or Time Away From Territory Plan
• Pretax
Dependent Care And Health Expense Reimbursement Accounts
• Student
Loan Program
• Credit
Union
• Career
Education
Equal Employment
It is our
policy that there be no discrimination in employment based on race, color,
national origin, religion, sex, disability, age, marital status, or sexual
orientation.
How to Apply:
Sentry
Insurance has an online employment application at
www.Sentry.com.
In order to complete it, you need to apply for a specific position. We ask
that you apply for one position at a time with us; so if you are interested in
several positions, please determine the position in which you are most
interested and apply for that position first. If you are not selected for your
first choice, we invite you to apply for the next job in which you are
interested.
If this
is the first time you have applied for a position at Sentry, you will be asked
to register. Returning applicants will only need to provide their email
address and password.
Recruiter Contact
Information:
Emily.Schroeter@Sentry.com