Commercial GL & Auto Claims Specialist adjusting high complexity claims for an insurance company. Collaborating with agents and managing litigated files for resolution in a hybrid role.
About the role
- Total Loss Claims Representative evaluating and settling claims for Sentry customers. Handling auto claims with an emphasis on customer service and compliance with state regulations.
Responsibilities
- Evaluate claims of basic to moderate complexity requiring expertise in private passenger auto, commercial auto, tractor trailers, heavy equipment, watercrafts, trailers, motorcycles, and other land-based off road or specialty vehicles. • Review pertinent information including repair estimates, unrelated prior damage estimates, photos, vehicle conditioning, and actual value to make accurate repair/total loss decisions that adhere to state specific thresholds. • Conduct and review valuations through company approved vendors and conduct further research as necessary to determine appropriate cash value for various auto and specialist vehicles. • Adhere to state-specific compliance including completion and submission of required forms, taxes, and fees. • Negotiate basic to moderately complex settlements with claimants and/or attorneys that fall within prescribed authority limits. • Explain procedures and denials to claimants where coverage does not exist. • Refer payment or denial of claims that exceed assigned authorization limits to management with settlement recommendations. • Document all decisions, correspondence, reports, and discussions that occur during the claim handling process. • Coordinate rental vehicles for claimants as necessary and manage any claim expenses including, but not limited to, advance changes, salvage, rental, and outside vendor expenses, ensuring services are properly covered for claimants while controlling expenses. • Obtain and maintain state adjuster and appraiser licensing as required.
Requirements
- Bachelors Degree or equivalent work experience. • Hands-on experience with auto repair is preferred. • Strong written and verbal communication skills strongly preferred. • Solid knowledge and understanding of each phase of the claim handling process, or other equivalent knowledge highly beneficial. • Demonstrated experience handling moderately complex claims, or other equivalent experience strongly preferred.
Benefits
- 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. • In-office workspace and materials for your home office. • Laptop and equipment for your home office before your start. • 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. • 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. • 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
Claims Adjuster Trainee investigating and verifying details of auto accidents for National General. Ensures accurate claims processing and coverage determination in North Carolina office environment.
Multiline Claims Specialist investigating and resolving multiline insurance claims with a focus on member satisfaction. Collaborating with internal and external stakeholders within a hybrid work environment.
Claims Specialist managing various insurance claims for Caradoc Townsend Mutual Insurance Company. Investigating, evaluating, and resolving claims while ensuring compliance and quality assurance.
Claims Handler at Lassie assisting customers with their pet insurance claims in a hybrid work model. Evaluating claims, communicating with pet owners and improving claims processes.
Workers Comp Claims Specialist at National Interstate Insurance managing a large inventory of complex claims and conducting comprehensive investigations. Supporting decision - making processes for coverage and liability determinations while maintaining strong relationships with stakeholders.
Workers Comp Senior Claims Representative managing claims for a leading commercial transportation insurer. Evaluating compensability, negotiation settlements, and ensuring timely claims resolution.
Complex Property Claims Adjuster managing intricate personal lines claims via phone at Aviva Canada. Responsible for claim settlement and ensuring top - quality customer service excellence and cost management.
Claims Examiner for Workers Compensation analyzing and adjudicating complex claims for various jurisdictions. Working in a hybrid model from Plano, TX or remote for experienced professionals.
Claims Adjuster handling commercial claims for an innovative insurance startup utilizing real - time data. Collaborating with a global team and driving successful claims outcomes in a high - growth environment.