Claims Legal Specialist

4 weeks ago


Charleston, West Virginia, United States Sentry Full time

About the Role:

We are seeking a highly skilled Claims Legal Specialist to join our team at Sentry. As a Claims Legal Specialist, you will provide expert technical guidance on the requirements to properly resolve conditional demands and participate in the development of technical content and implementation of training programs to ensure understanding of claims standards, policies, procedures, and processes around conditional demands.

Key Responsibilities:

  • Provide technical advice and guidance to claims associates on conditional demands in various states.
  • Recommend changes in claims handling practices based on legislative action or court decisions and trends in the insurance industry.
  • Develop and guide claim managers and claim representatives on how to properly handle demands that subject Sentry and its insureds to extra contractual liability and excess verdict risks.
  • Design and implement programs and practices relating to conditional demands for use countrywide.
  • Collaborate with claims management and legal on best practices for handling conditional demands in various states.

Requirements:

  • Bachelor's degree or equivalent work experience required, Juris Doctor preferred.
  • Minimum 8 years of related work experience.
  • Experience in handling conditional demands, preferably including bodily injury claims, on behalf of an insurer as an attorney, technical specialist, claims manager or similar role sufficient in one or more of the following states to develop a high degree of technical expertise: CA, FL, TX, GA, or SC.
  • Expertise with conditional demands across multiple states including legal requirements, claims handling best practices, and risks involved.
  • Technical expertise in claims processes, procedures, and laws as well as a thorough understanding of conditional demand requirements across multiple states; knowledge of claims handling operations.
  • Strong analytical, communication, presentation, and human relation skills.
  • Ability to self-manage in a role requiring a high degree of technical skill.

About Sentry:

We take great pride in making Forbes' list of America's Best Midsize Employers. A lot of different factors go into that honor, many of which contribute to your job satisfaction.

Our bright future is built on a long track record of success. We got our start in 1904 and have been helping businesses succeed and protect their futures ever since. Because of the trust placed in us, we're one of the largest and financially strongest mutual insurance companies in the United States.

We're rated A+ by A.M. Best, the industry's leading rating authority.

Our headquarters is in Stevens Point, Wisconsin, with offices located throughout the United States. From sales to claims, and information technology to marketing, we enjoy a rewarding and challenging work environment with opportunities for ongoing professional development and growth.

Get ready to own your future at Sentry. Opportunities await

Joe Larsen

Talent Acquisition Specialist

Equal Employment Opportunity

Sentry is an Equal Opportunity Employer. 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.


  • Claims Specialist III

    1 month ago


    Charleston, West Virginia, United States AIG Full time

    Job SummaryWe are seeking a highly skilled Claims Specialist III to join our team at AIG. As a key member of our Claims team, you will be responsible for handling auto and general liability claims under general supervision and moderate to high exposure claims involving litigation.Key ResponsibilitiesAnalyze and process 3rd party property damage claims by...


  • Charleston, West Virginia, United States PURE Insurance Full time

    About the RoleThe Claims Representative is a key member of the claims team reporting to the Claims Representative Casualty Manager. The primary goal of this position is to deliver exceptional service to our members and independent agency partners.This person will handle first and third-party claims in a quality manner and meet our high standards of accuracy,...


  • Charleston, West Virginia, United States CommuniCare Family of Companies Full time

    Job SummaryThe Medical Billing Specialist role at CommuniCare Family of Companies is responsible for processing and managing medical claims for our facilities. This position requires strong attention to detail and excellent communication skills to interact with insurance companies and resolve unpaid claims.Key ResponsibilitiesProcess and manage medical...


  • Charleston, West Virginia, United States U.S. Army Training and Doctrine Command Full time

    About the Position:Serves as the liaison between the employing organization and the Office of the Staff Judge Advocate (OSJA) under the technical supervision and guidance of the Chief, Military Justice or his or her designee(s). This role provides administrative support in the examination, initiation, and completion of legal actions and documents for review...


  • Charleston, West Virginia, United States CommuniCare Family of Companies Full time

    Job SummaryWe are seeking a detail-oriented Medical Billing Specialist to join our Corporate Managed Care Billing Department. The ideal candidate will have a strong understanding of medical billing and collection practices, with 3-5 years of experience in managed care billing.Key ResponsibilitiesBilling, receivables auditing, and collections activities for...


  • Charleston, West Virginia, United States gpac Full time

    Job Title: Litigation Paralegal SpecialistJob Summary: We are seeking a highly organized and detail-oriented Litigation Paralegal Specialist to provide essential support to our attorneys in all phases from case inception through trial and appeal.Key Responsibilities:* Assist with trial preparation, including coordinating witnesses, creating trial binders,...


  • Charleston, West Virginia, United States Mass Markets Full time

    Job Title: Licensed Life and Health Insurance SpecialistAt Mass Markets, we are seeking a highly motivated and dedicated Licensed Life and Health Insurance Specialist to join our team. As a key member of our customer service team, you will play a vital role in educating and guiding customers to select the insurance policies that best meet their needs.Key...


  • Charleston, West Virginia, United States IQVIA Holdings, Inc. Full time

    Care Management Role OverviewCare Managers at IQVIA Holdings, Inc. are responsible for ensuring seamless communication with insurance companies to obtain accurate eligibility information, conducting thorough benefit investigations, and verifying copay assistance and prior authorization status.This remote position requires strong analytical and...

  • Medical Assistant

    4 weeks ago


    Charleston, West Virginia, United States Allin Solutions LLC Full time

    We are seeking a highly skilled Certified Medical Assistant to join our team at All In Solutions LLC in Fredericksburg, VA. As a Medical Assistant - Veteran Care Specialist, you will play a vital role in assisting with the examinations of Veterans for disability claims with the Department of Veterans Affairs.Key Responsibilities:Manage office telephone...

  • Inventory Specialist

    4 weeks ago


    Charleston, West Virginia, United States Walgreens Full time

    Job Summary:As an Inventory Specialist at Walgreens, you will be responsible for executing, monitoring, and training inventory best practices and standard operating procedures for the entire store. This includes front-end and pharmacy inventory management activities, such as receiving, counting, ordering, and facilitating returns. You will champion On-Shelf...


  • Charleston, West Virginia, United States City National Bank of WV Full time

    We are seeking a highly skilled Banking Specialist to join our team at City National Bank of WV. As a key member of our operations team, you will play a critical role in ensuring the accuracy and integrity of our financial records.Key Responsibilities:Conduct internal audits of operations, compliance, and loan reviews to identify areas for...


  • Charleston, West Virginia, United States Army National Guard Full time

    Job Summary: We are seeking a skilled Electronic Systems Specialist to join our team at the Army National Guard. As a Signal Support Systems Specialist, you will be responsible for integrating signal systems and networks, performing signal support functions, and maintaining radio and data distribution systems.Key Responsibilities:Maintain and install signal...


  • Charleston, West Virginia, United States CommuniCare Family of Companies Full time

    Pharmacy Adjudication Technician RoleAt CommuniCare Family of Companies, we are seeking a skilled Pharmacy Adjudication Technician to support our West Virginia team. This role is responsible for the adjudication of daily unit dose and non-unit dose claims. Key responsibilities include contacting insurance for proper overrides, new admits for assigned homes,...


  • Charleston, West Virginia, United States CommuniCare Family of Companies Full time

    HR Benefits Specialist Job DescriptionWe are seeking an HR Benefits Specialist to support employees in all matters related to insurance benefits. This role involves travel to various facilities and requires a valid driver's license.Key Responsibilities:Serve as onsite liaison for health plan education, questions, issues, and concerns.Manage employee service...


  • Charleston, West Virginia, United States MANDEX INC Full time

    Job Title: Warehouse SpecialistJob Summary:MANDEX INC is seeking a skilled Warehouse Specialist to support life cycle maintenance and integrated product support for MHS LAN Upgrade. The ideal candidate will have experience in inventory management, warehouse operations, and logistics support.Responsibilities:• Perform inventory, staging, packing, storage,...


  • Charleston, West Virginia, United States Local Law Firm Full time

    Job DescriptionLocal Law Firm is seeking an experienced Intake Specialist to connect with and capture new clients for our services. The ideal candidate will have strong interpersonal skills, a background in sales, or be motivated by a team atmosphere. We are looking for a real closer who can entice clients to sign with us and handle all aspects of personal...


  • Charleston, West Virginia, United States CAMC Health System Full time

    Job SummaryThe Recruitment Specialist will be responsible for recruiting, screening, and hiring individuals to fill staffing needs within the organization. This role will serve as a liaison to managers for employment and hiring laws and practices.Responsibilities The Recruitment Specialist will be a liaison to managers in the organization to send qualified...


  • Charleston, West Virginia, United States Moore & Van Allen Full time

    Moore & Van Allen PLLC, a dynamic and fast-growing full-service law firm, is seeking a Courier Delivery Specialist to join its Charleston, SC office. The successful candidate will be responsible for providing efficient delivery services for packages, mail, and supplies within a designated area.Key Responsibilities:Ensuring prompt courier services for firm...


  • Charleston, West Virginia, United States Ensemble Health Partners Full time

    Job DescriptionJob Title: Senior Patient Access SpecialistJob Summary: Ensemble Health Partners is seeking a highly skilled Senior Patient Access Specialist to join our team. As a Senior Patient Access Specialist, you will be responsible for performing admitting duties for all patients admitted for services at the hospital.Key Responsibilities:Assign...


  • Charleston, West Virginia, United States GDI Services Inc US Full time

    Job OverviewGDI Services Inc US is seeking a skilled Facilities Maintenance Specialist to join our team. As a key member of our maintenance team, you will be responsible for ensuring the cleanliness and maintenance of our commercial office buildings.Key Responsibilities:Clean and maintain commercial office buildings, including restrooms, break-rooms, and...