Associate Claims Representative-Workers Compensation (Richmond)

Manage end-to-end WC claims investigate, determine compensability, coordinate care, and work with stakeholders to deliver fair, timely resolutions.

This position will be staffed following the hybrid work model out of our Richmond, VA office. This role is NOT available for remote work.

What You'll Do

As a n Associate Claims Rep-WC , you will :

• 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. Youll 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 employees 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.

• A c curately document all aspects of the claim, including investigation details, injury reports, medical records, and correspondence with any involved parties.

Additionally, you will:

• 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.

What it Takes

• Ability to obtain and maintain state adjusters licensing as applicable

• Bachelors Degree or equivalent work experience

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

• Confidence in mak ing appropriate claims decisions

• S trong time management skills highly beneficial

• Effective verbal and written communication skills

• Demonstrates technological aptitude

• Ability to work on multiple items at once is strongly preferred

What You'll Receiv e

At Sentry, your total rewards go beyond competitive compensation. Below are some benefits and perks that youll 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 youll 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 Americas 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, were one of the largest and financially strongest mutual insurance companies in the United States. Were 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!

Talent Acquisition Specialist

Shea Supa

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.