LMI Claims Specialist assessing and managing complex LMI claims for QBE’s insurance team. Delivering high - quality outcomes while providing technical expertise and compliance oversight.
About the role
- Claims Representative-Liability at Sentry responsible for evaluating claims and negotiating settlements. Engage with customers while maintaining compliance and documentation throughout the claims process.
Responsibilities
- Verify coverage by thoroughly reviewing the policies and interpreting policy terms, conditions and language
- Evaluate liability by taking recorded statements, reviewing police reports, and compiling other pertinent evidence
- Negotiate or deny liability based on the investigation outcome
- Evaluate physical damage and bodily injury claims based on estimates, photographs, appraisals, medical reports, medical bills, and other evidence
- Working closely with medical providers, repair shops, and/or contractors to facilitate necessary and related services or repair work
- Set appropriate claim reserves in a timely manner based on ongoing evaluations of liability and damages
- Negotiate property damage and bodily injury settlements with policyholders, claimants, attorneys, and other insurance carriers to reach fair resolutions within established guidelines
- Ensure claims are paid promptly and within authorized limits
- Ensure compliance with industry regulations, legal requirements, and internal policies by thoroughly documenting all decisions, communications, and activities throughout the entire claims process
- Provide empathetic and supportive service to customers as they navigate challenging situations, clearly explaining the claims process, keeping them informed of their claim process, and communicating decisions along with the reasoning behind them
Requirements
- Bachelor’s degree or equivalent work experience
- Minimum 1 year of related work experience
- Insurance experience and/or coursework highly preferred
- Ability to review and analyze detailed documents, insurance policies, coverages, medical terminology, and insurance regulations
- Ability to make appropriate claim decisions, prioritize, and manage workload
- Ability to have effective verbal and written communication skills
- Ability to show technological aptitude
- Ability to demonstrate fundamental negotiation skills
Benefits
- flexibility through a scheduled Hybrid work model
- Meal Subsidy available for associates who report to an office
- 401(K) plan with a dollar-for-dollar match on your first eight percent
- immediate vesting to help strengthen your financial future
- Continue your education and career development through Sentry University (SentryU)
- 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
- Health and Wellness benefits to encourage a healthy lifestyle
- Well-being and Employee Assistance programs
- Sentry Foundation gift matching program to encourage charitable giving
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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