Claims Representative II- Subrogation

  • Sentry Insurance
  • Stevens Point, WI, USA
  • Nov 05, 2017
Full time Insurance

Job Description

OVERVIEW

As one of the largest mutual insurance companies in the nation, we re completely focused on offering exceptional claims service to our policyholders. To help uphold our premier standards we are currently recruiting for Claims Representatives to work within our Personal & Commercial Liability unit.

WHAT YOU'LL DO

Provides prompt subrogation investigation, evaluation and communication to the claims departments on open claim files and handles subrogation recovery efforts on closed claim files where third party responsibility has been identified. Authorizes expense recovery payments in accordance with assigned authority limit to enhance collection efforts. May handle, monitor and/or assign collection efforts to outside vendors as appropriate. Documents claim files with all pertinent information. In addition you ll:

  • Participate in claims educational courses to learn about claim subrogation file handling.
  • Obtain pertinent information i.e., police and medical reports, appraisals, statements, estimates and scene photographs to support recovery efforts.
  • Gain experience in determining minimal to moderate liability exposure.
  • Evaluate moderate to complex recovery claims and payments made in order to establish a clear and concise disposition plan to recovery dollars.
  • Document all decisions, correspondence, reports and discussions that occur during the evaluation and investigation of the file.
  • Recover, settle and may pay claims having minor exposures within assigned authority limits.
  • Obtain and maintain state adjuster licenses as required and adheres to state specific compliance issues for assigned jurisdictions regarding recovery efforts/guidelines.
  • Learn about detecting potential problems or trends that require additional review, investigation or research.
  • Receive recovery claim assignments from manager and directly from established workflow and systems.
  • Confer with higher level technical claim personnel for guidance and direction to ensure the file is handled properly.
  • Learn the necessary steps to determine if subrogation exists and takes steps necessary for recovering all potential dollars.
  • Monitor claim files during initial and residual periods to ensure file currency.
  • Refer claims that exceed assigned authorization limits to higher levels.
  • Perform other job-related duties requiring the same general knowledge, skills and degree of responsibility commensurate with assigned level.

WHAT IT TAKES
  • Bachelor s degree or equivalent work experience.
  • Knowledge of insurance policies and coverage, claim payment procedures, insurance regulations and familiarity with medical and legal terminology is preferred
  • Prior Claims and/or collections work experience is required
  • Previous insurance experience and/or coursework required.
  • Possess analytical abilities to review, exercise judgment, and evaluate recovery claims to make sound decisions.
  • Effective oral and written communication skills with the ability to maintain confidentiality
  • Personal computer and math skills beneficial

WHAT YOU'LL RECEIVE

Sentry's excellent benefits package is designed to meet today's most important needs. Benefits for full-time Sentry Insurance employees include:

  • Competitive Compensation
  • Group Medical, Dental, Vision and Life
  • 401 (K) plan with a dollar-for-dollar match on your first six percent
  • Comprehensive paid training
  • Generous Paid-Time Off Plan
  • Pretax Dependent Care and Health Expense Reimbursement Accounts

HOW YOU LL APPLY

Sentry Insurance has an online employment application. 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.


NEXT STEP

Once you complete the online employment application for this role, you will be asked to complete a pre-employment assessment and online video interview. The links and directions to complete these will be sent in two separate emails to the email address you provided in your application. Both items must be completed within 5 days of receipt of the email.

WHO YOU LL WANT TO CONTACT

Nicole Stroupe at

ABOUT SENTRY

Sentry Insurance is one of the largest and strongest mutual insurance companies in the United States, holding an A+ (superior) rating from A.M. Best. The company and its subsidiaries sell property and casualty insurance, life insurance, annuities and retirement programs for business and individuals throughout the country. Headquartered in Stevens Point, Wisconsin, Sentry employs more than 4,000 associates in 41 states. A complete list of underwriting companies can be found at .

EQUAL EMPLOYMENT OPPORTUNITY

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.

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Associated topics: auto, automobile, casualty, claim, claim investigator, fraud, insurance examiner, insurance investigator, investigate, liability