New

Claims Representative Senior - Workers' Compensation

Sentry Insurance
life insurance, parental leave, tuition reimbursement, 401(k), remote work
United States, Wisconsin, Stevens Point
1800 North Point Drive (Show on map)
Aug 27, 2025
In this role, you will independently manage a caseload of workers' compensation (WC) insurance claims. You'll communicate effectively with employers, injured workers, suppliers, and other stakeholders as you investigate and resolve claims in an efficient and accurate manner. You'll provide guidance and mentor less experienced claim representatives. Leveraging your strong analytical, decision-making, and problem-solving skills, you'll determine compensability and ensure fair claim resolutions while proactively managing medical, return to work, and legal issues. Overall, the role of a WC claims representative requires a blend of investigative, communication, problem-solving and decision-making skills to effectively manage claims and support injured employees throughout the recovery process. What you'll Do: Analyze high exposure claims, set reserves, determine compensability, pay benefits and settle claims with established dollar authority. Develop and manage workers' compensation claims action plans to a resolution, coordinate return-to-work efforts, and approve claim payments. Prepare claims for settlement and negotiate settlement with best outcome. Manage and direct all cases to closure in the most efficient and effective way possible. Communicate claim action/processing with claimant and client in a professional and timely manner. Provide work direction and guidance to claim representatives and serve as a technical resource within your assigned unit. What it Takes: Bachelor's degree or equivalent experience 5+ years of related work experience Ability to pass required coursework applicable to job duties Thorough knowledge of state insurance policies, coverage, procedures, and regulations Ability to make sound decisions while using good judgment in evaluating claims Effective oral and written communication skills Ability to maintain confidential information Ability to review and interpret complex and detailed documents Effective computer and math skills Ability to meet travel requirements of the job What You'll Receive: At Sentry, your total rewards go beyond competitive compensation. Below are some benefits and perks that you'll receive. Sentry is happy to offer 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. 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. About Sentry: We take great pride in making Forbes' list of America's Best Midsize Employers. A lot of different factors go into that honor, many of which contribute to your job satisfaction. Our bright future is built on a long track record of success. 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. We're rated A+ by A.M. Best, the industry's leading rating authority. 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. Get ready to own your future at Sentry. Opportunities await! Joe Larsen Talent Acquisition Specialist Joe.larsen@sentry.com Equal Employment Opportunity Sentry is an Equal Opportunity Employer. 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.