CLAIM REPRESENTATIVE TRAINEE

CLAIM REPRESENTATIVE TRAINEE

SCOTTSDALE, ARIZONA

 

About Sentry:

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 $8.5 billion in assets, a policyholder surplus of $2.3 billion and annual premiums in excess of $1.8 billion. Sentry Insurance is headquartered in Stevens Point, Wisconsin, with claims and service offices located throughout the United States. Sentry offers a full line of property, casualty and life insurance products to protect businesses, cars, homes, lives and retirement incomes.


Responsibilities:

The Claims Service Center (CSC) in Scottsdale is responsible for the administration of claims, with claims units handling non-standard auto claims. The claim units investigate, evaluate and settle claims in an equitable manner, serving the interests of the Company, policyholder and claimant while providing superior customer service.

A claim representative: Receives claim assignments, verifies coverages and investigates losses by gathering pertinent information. Takes recorded statements, obtains pertinent information i.e., police and medical reports, appraisals, estimates, photographs, and evaluates damages/eligibility for benefits, determines liability and sets reserves. Documents all decisions, correspondence, reports and discussions that occur during the investigation. Confers with higher level technical claims personnel for guidance and direction to ensure the file is handled properly. Completes claims by evaluating the loss and settling the claims. Denies coverage where coverage does not exist. Determines if subrogation exists and takes steps necessary for recovery. Within assigned authority limits, settles and pays claims. 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 Claims Representative or Claims Manager with settlement recommendation. Detects potential problems or trends that require additional review, investigation or research and refers to Senior Claims Representative or Claims Manager for resolution. Works closely with health facility, repair facility and/or contractors to facilitate necessary services or repair work. Advises the Claims Department of any special problems i.e., questionable repair shops. Notifies Underwriting of any adverse findings on a particular risk. Accurately codes data submitted to outside agencies or other Sentry functions. In litigation situations, provides pertinent background information to legal counsel and assists as possible in reaching an in-court or out-of-court settlement. Participates in administering fraud control procedures, evaluating and preparing reports, and drafting responses to formal complaints. Performs other job-related duties i.e., receiving telephone claim reports, resolving complaints, completing assigned projects, requiring the same general knowledge, skill and degree of responsibility commensurate with the assigned level.

 

Qualifications:Previous experience in customer service handling escalated calls is desirable Must possess analytical abilities to review, exercise judgment, and evaluate claims to make sound decisions. Must have self initiative and organizational skills. Effective oral and written communication skills and human relations skills are critical. Ability to work in a dynamic, fast-paced environment. A strong work ethic with an emphasis on quality and productivity along with strong customer service skills College degree or equivalent Spanish bilingual is a plus.

Compensation and Benefits:
The starting salary will be commensurate depending 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

 

How to Apply:

Send resume to:

scottsdalehr@sentry.com

 



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