Claims Representative Entry Level

An entry-level Claims Customer Service position requiring a learning nature, empathy and interpersonal skills along with a strong desire to assist customers.
Provides prompt investigation, processing and settlement of claims with minor exposures. Requires the explanation of the claims process to customers. Generates payments in accordance with assigned authority limit. Documents all activities and pertinent information in applicable claim system. Responsible for handling claims that require learning of basic claim skills relating to fact of loss investigations, compensability and damages such as material damage and medical bill processing. Entry-level role for associates who are new to claims or who have limited insurance knowledge and / or customer service experience.

This role will be filled in Stevens Point, WI following our hybrid work model.

In this role, you’ll investigate and resolve insurance claims with a focus on efficiency and accuracy. You’ll independently manage a caseload, negotiate settlements, and communicate effectively with policyholders, vendors, and other stakeholders. You’ll leverage your analytical, decision-making, and problem-solving skills to determine liability or compensability and ensure fair claim resolutions by handling minor exposure coverage, negligence, medical, and damage issues.

What You'll Do:

As an Entry Level Claims Representative for our Commercial Lines, you will:

• Support customers with empathy and understanding, assisting them through difficult situations and effectively communicating the claims process, ongoing claim status, and decisions, including the reasoning behind them.
• Gain knowledge to verify coverage, compensability, and reasonable payments by thoroughly reviewing the policy, reviewing accident details, and other pertinent information related to the claim.
• Develop investigative claims skills by taking and reviewing recorded statements from involved parties and witnesses, reviewing police reports, and other pertinent evidence.
• Build knowledge to evaluate claims exposure appropriately, establishing timely reserves.
• Comply with industry regulations, legal requirements, and internal company policies through thorough documentation of all decisions, correspondence, and discussions that occur throughout the life cycle of the claim

Additionally, you will:

• Detect potential problems or trends requiring additional review and escalate to a manager.
• May respond to arbitration filings on claims involving disputed damages and liability. May assign and monitor outside suppliers as appropriate.
•  Notify underwriting of any adverse findings on a risk.
•  Determine if subrogation exists and work with the subrogation department on recovery of damages.
•  Work with the special investigations unit (SIU) to administer fraud control procedures. Report any concerns with medical facilities or repair shops.
•  Obtain and maintain state licensing requirements while ensuring compliance with any reporting requirements, deadlines, and file coding as defined by the state.
•  May gain knowledge to negotiate or deny liability based on the investigation outcome.
•  Perform other job-related duties as assigned from time to time.

What it Takes:

• Bachelor’s degree preferred or equivalent experience.
• Insurance related and/or customer service experience preferred.
• Ability to professionally communicate verbally and in writing.
• Effective time management skills.
• Technology aptitude.

What You'll Receive:

At Sentry, your total rewards go beyond competitive compensation. Below are some benefits and perks that you’ll receive.

• 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.

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.