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Senior Claims Adjuster

2 months ago


Stevens Point, Wisconsin, United States Sentry Full time
Position Overview:

Sentry is seeking a skilled claims professional to manage both litigated and non-litigated claims involving intricate coverage, liability, and damage considerations. This role includes engaging in settlement discussions and mediations, as well as closely monitoring litigation processes such as depositions, inspections, hearings, settlement conferences, and trials.

Key Responsibilities:

  • Conduct thorough investigations of claims, ensuring prompt evaluation of coverage, liability determination, and damage settlement.
  • Negotiate settlements for bodily injury and property damage claims, collaborating with claimants and their legal representatives.
  • Manage a diverse caseload of litigated and non-litigated claims from initiation to resolution.
  • Analyze coverage documents and contracts to interpret applicable coverage and effectively communicate findings to clients.
  • Assess facts and devise strategies to resolve claims related to bodily injury and property damage.
  • Review medical records to ascertain the value of bodily injury claims.
  • Exercise independent judgment within established authority limits, escalating issues as necessary.
  • Maintain comprehensive documentation of all decisions, communications, reports, and discussions related to claims.

Qualifications:

  • Bachelor's degree or equivalent experience.
  • A minimum of 5 years in a related field.
  • In-depth knowledge of insurance policies, claims payment processes, and relevant regulations, along with familiarity with medical and legal terminology.
  • Strong analytical abilities to assess claims and make informed decisions.
  • Capability to interpret complex documents effectively.
  • Excellent verbal and written communication skills.
  • Ability to handle confidential information with discretion.
  • Proficient computer and mathematical skills are advantageous.

Benefits:

Sentry offers a comprehensive benefits package that extends beyond competitive salaries. Some of the perks include:

  • A flexible work environment with a hybrid model, allowing for remote work on designated days.
  • Provision of necessary equipment for both in-office and home office setups.
  • Meal subsidies for employees working on-site.
  • A robust 401(K) plan with matching contributions to enhance your financial security.
  • Opportunities for professional growth through Sentry University and a tuition reimbursement program.
  • Generous paid time off, including volunteer time off.
  • Comprehensive health benefits, including medical, dental, vision, and life insurance.
  • Access to well-being and employee assistance programs.
  • A charitable giving program that matches employee donations.

About Sentry:

With a legacy dating back to 1904, Sentry has established itself as one of the largest and most financially robust mutual insurance companies in the United States. We take pride in our recognition as one of America's Best Midsize Employers, reflecting our commitment to employee satisfaction and professional development.

Our headquarters is located in Stevens Point, Wisconsin, with a network of offices across the country. We foster a dynamic work environment that encourages ongoing growth and development in various fields, from sales to claims management.

At Sentry, we are dedicated to empowering our employees and supporting their career aspirations.