Director - Claims Technical

Company: Sentry
Location: Stevens Point
Posted on: March 19, 2023

Job Description:

Sentry is seeking a highly skilled and experienced technical leader to ensure timely and equitable resolution of claims and managing Sentry's growth objectives. As the Director - Claims Technical, you'll effectively oversee operations to ensure the delivery of quality and consistent claims practices and direction. We invite you to come be a part of our team, to do great things for those lives you touch, and maximize your career possibilities.

This role will work out of our Stevens Point, WI office.What You'll Do:As the Director-Claims Technical, you'll have the opportunity to establish a solid foundation with Sentry assure our competitiveness within the insurance industry by performing the following:

• Oversees the application and development of unit practices and procedures. Proactively assesses issues and oversees process improvements ensuring the establishment of best practices, policies, procedures and systems that enhance productivity, positively impact the business and comply with internal and external requirements.
• Manages the Claims Audit & Compliance department. Develops and maintains access to quality defense panel firms, sets guidelines for reporting and billing and assures proper audit and compliance through Legal Audit services.
• Participate in the development of new insurance products and coverage changes
• Develop and execute strategic plans and objectives aligning with current and future needs
• Collaborate with Claims and business leadership members on business unit decisions and operations
• Provide technical oversight on severe and complex claims
• Evaluate and resolve claims against the company and serve as a corporate witness in litigation
• Deliver administration of human resource-related activities, and ensure adherence to human resource policies and practices
• Develops claims standards and policies regarding reserving and settlement authorization and assigns authorization limits for both claims management and associates. Provide recommendations to senior leadership on claims authority grids and any exceptions to the grid.
• Coordinates and executes the due diligence activity and process as to claims operations, compliance, and expertise related to merger or acquisition of accounts and/or companies.
• Works with other functional units in the area of risk evaluation for the purpose of considering retention, pricing and/or selling of self-insured claim services, and participates in drafting Claims Service contracts.
• Remains aware of industry trends and legislative developments to assure compliance and competitiveness within the insurance industry and responsiveness to customer needs.What it Takes:
  • Bachelor's Degree or equivalent work experience
  • 10+ years of related experience with claims operations, best practices, and compliance requirements
  • Knowledge of litigation strategies and technical expertise in multiple lines of coverage and policies is required
  • Successful management and leadership experience in a claims operation
  • Strong organizational, human relations, communication, and presentation skills
  • Ability to travel without significant notice as required by the job (approximately 25%)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 in office.
    • Generous Paid-Time Off plan for you to enjoy time out of the office.
    • 401(K) plan with a dollar for dollar match on your first eight percent, plus immediate vesting to help strengthen your financial future.
    • Group Medical, Dental, Vision and Life insurance to encourage a healthy lifestyle.
    • Extensive Work-Life Resources to lend a helping hand.
    • Sentry Foundation gift matching program to encourage charitable giving.
    • Continue your education and career development through Sentry University (SentryU).About Sentry:We take great pride in making Forbes' list of America's Best Midsize Employers since 2017. Alot 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!Nic La Rosa
      Nic.LaRosa@sentry.comEqual Employment OpportunitySentry 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.

Keywords: Sentry, Green Bay , Director - Claims Technical, Executive , Stevens Point, Wisconsin