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Sentry · 3 hours ago

Associate Claims Representative-Workers Compensation

Richmond, VA

Full-time

Hybrid

New Grad, Entry Level

Sentry is a leading mutual insurance company that has been helping businesses succeed since 1904. They are seeking an Associate Claims Representative for Workers Compensation to manage end-to-end claims, provide customer service, verify coverage, and ensure compliance with regulations.

Insurance

Responsibilities

Provide all aspects of customer service with empathy and understanding by assisting customers through difficult situations. You are the primary point of contact between the injured employee, health care providers, and employers. You’ll maintain active communication with all parties involved to gather information and provide updates on the status of claims

Verify coverage, compensability and investigate causation by gathering pertinent information. Conduct thorough investigations into the circumstances surrounding the injury or illness. This may involve reviewing medical records, interviewing involved parties, and examining workplace conditions including job descriptions

Assess the extent of the employee’s injury or illness to determine the benefits they are entitled to receive under WC laws. This may include medical treatment and disability payments

Actively manage and develop action plans to move files toward resolution. Evaluate and approve payments to medical providers, suppliers, and the injured employee

Accurately document all aspects of the claim, including investigation details, injury reports, medical records, and correspondence with any involved parties

Ensure compliance with regulations governing WC claims, including reporting requirements, deadlines, and file coding as defined by the state

Collaborate with special investigations unit (SIU) to assist in mitigating fraud and the subrogation team as necessary to assist with recovery efforts

Qualification

State adjusters licensingInsurance experienceCustomer service experienceTechnological aptitudeTime managementVerbal communicationWritten communication

Required

Ability to obtain and maintain state adjusters licensing as applicable

Bachelors Degree or equivalent work experience

Confidence in making appropriate claims decisions

Effective verbal and written communication skills

Demonstrates technological aptitude

Preferred

Insurance related and/or customer service experience or coursework highly preferred

Strong time management skills highly beneficial

Ability to work on multiple items at once is strongly preferred

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, plus immediate vesting to help strengthen your financial future

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

Company

Sentry

Glassdoor3.5

In 1904, members of the Wisconsin Retail Hardware Association founded their own insurance company—one built on mutual support, shared strength, and a commitment to service.

Founded in 1904