Medical Claims Processor - Stevens Point, WI, United States - Sentry

Description

A Customer Service Professional position requiring creativity, empathy, interpersonal skills and a strong desire to assist customers.
Provides prompt claim investigation, evaluation and settlement or denial of claims with moderate to highly complex exposures. Documents claim files with all pertinent information and disposition. Fully experienced claims handler. Responsible for handling claims having complex negligence, compensability, damage and coverage issues. May handle claims requiring litigation and is accumulating expertise in specified jurisdictional areas.

As a Senior Claims Representative with Sentry, you'll provide superior customer service by conducting prompt claim investigations, which includes evaluating coverage, determining liability, and settlement of damages.

Negotiate the settlement of bodily injury and property damage claims with claimants and their legal counsel
Review coverage forms and contracts to interpret applicable coverage then communicate the analysis to our customers
Evaluate the facts and develop and execute plans to resolve bodily injury and property damage claims
Review medical documentation to determine the value of bodily injury claims
Document all decisions, correspondence, reports, and discussions

Bachelor's degree or related experience
~5 years of related work experience
~ Thorough knowledge of insurance policies and coverages, claim payment procedures, insurance regulations, and familiarity with medical and legal terminology
~ Analytical skills to review, exercise judgment, and evaluate claims to make sound decisions
~ Ability to review and interpret complex and detailed documents
~ Ability to maintain confidential information
~ Effective computer and math skills beneficial

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.

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.

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.

Talent Acquisition Specialist

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.