Claims Audit & Compliance Specialist - Commercial Liability

As a Claims Audit & Compliance Specialist - Commercial Liability, you will develop and execute detailed audit plans to evaluate the accuracy of claims processing, compliance with regulations, and adherence to organizational policies. You will work with internal stakeholders at various levels of claims management to address audit findings and implement corrective measures. You will maintain documentation and stay informed about industry regulations, best practices, and emerging trends.

What You'll Do

• Develop and implement comprehensive audit plans to assess claims processing accuracy, compliance with regulatory guidelines, and adherence to organizational policies.
• Analyze claims data and trends to identify potential areas for process improvement or risk mitigation. Complete daily/weekly control report reviews and investigate findings.
• Collaborate with internal stakeholders, including multiple levels of claims management, to address audit findings, implement corrective actions, and enhance claims processing efficiency.
• Develop and maintain audit documentation, reports, and metrics to track audit findings and outcomes.
• Stay updated on industry regulations, best practices, and emerging trends related to claims processing and compliance.
• Develop and maintain the letters used by associates in claims handling.
• Provide training and guidance to claims processing teams on compliance standards and audit protocols.

What it Takes

• Bachelors Degree or equivalent work experience
• Minimum 6 years of related work experience
• Technical expertise in regulatory analysis, claim processes, procedures, and laws
• Strong analytical, communication and presentation skills
• Ability to work with diverse groups and develop partnerships, teamwork, and good working relationships with all levels of external and internal business partners

What You'll Receive

At Sentry, your total rewards go beyond competitive compensation. Below are some benefits andperksthatyou'llreceive.

• Sentry is happy to offerflexibilitythrough a scheduled Hybrid work model.Monday and Friday work from homeif you choose to, Tuesday through Thursdayyou'llwork inoffice.

• 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 yourstart,Sentry willprovide equipmentfor your home office.

• Meal Subsidyavailable for associates who report to an office.

• 401(K)planwith adollar for dollarmatch on yourfirst eight percent,plus immediate vesting to help strengthen your financial future.

• Continue your education and career development through Sentry University (SentryU) andutilizeourTuition Reimbursementprogram

• Generous Paid-Time Off plan for you to enjoy time out of the office as well asVolunteer-Time off

• Group Medical, Dental, Vision, Life insurance, Parental leave, and our Health and Wellnessbenefitsto encourage a healthy lifestyle.

• Well-being andEmployee Assistanceprograms

• Sentry Foundationgift matchingprogram to encourage charitable giving.

About Sentry

We takegreat pridein making Forbes' list of America's Best Midsize Employers. A lot ofdifferent factorsgo into that honor, many of which contribute to your job satisfaction.

Our bright future is built on a longtrack recordof 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'reone of the largest and financially strongest mutual insurance companies in the United States.We'rerated A+ by A.M. Best, the industry's leading rating authority.

Our headquarters is in Stevens Point, Wisconsin, with officeslocatedthroughout 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!

Jessica Welsh

HR Specialist

jessica.welsh@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.