Claims Representative – Workers Compensation
West Bend Insurance Company
full-time
Posted on:
Location Type: Hybrid
Location: West Bend • Wisconsin • 🇺🇸 United States
Visit company websiteSalary
💰 $67,000 - $100,000 per year
Job Level
Mid-LevelSenior
About the role
- Manage claims of varying complexity using current claim technology and best practices.
- Conduct thorough investigations to determine coverage, evaluate damages/benefits, and assess liability/compensability.
- Negotiate settlements with insureds, claimants, and attorneys while maintaining proactive file management, accurate reserving, and adherence to audit and regulatory standards.
- Collaborate closely with internal partners and external stakeholders, with the scope of responsibility (including field work and regional liaison duties) increasing with experience level.
Requirements
- Prior experience managing claims at the appropriate level of complexity (from low/moderate to high-exposure/complex)
- Proficiency with computers and current claim technology
- Interpersonal, oral, and written communication skills with customer-focused professionalism
- Negotiation, problem-solving, and conflict resolution skills
- Time management and organizational discipline with proactive file handling
- Independent decision-making ability (higher levels) and results orientation
- Technical expertise in coverage analysis, compensability, and damages evaluation (higher levels)
- Prior experience managing claims across multiple jurisdictions (higher levels) with preferred jurisdictions of Illinois, Wisconsin, and North Carolina
Benefits
- Medical & Prescription Insurance
- Health Savings Account
- Dental Insurance
- Vision Insurance
- Short and Long Term Disability
- Flexible Spending Accounts
- Life and Accidental Death & Disability
- Accident and Critical Illness Insurance
- Employee Assistance Program
- 401(k) Plan with Company Match
- Pet Insurance
- Paid Time Off . Standard first year PTO is 17 days , pro-rated based on month of hire. E nhance d PTO may be available for experienced candidates
- Bonus eligible based on performance
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims managementcoverage analysiscompensability evaluationdamages evaluationnegotiationproblem-solvingconflict resolutionfile managementreservingaudit compliance
Soft skills
interpersonal communicationoral communicationwritten communicationcustomer-focused professionalismtime managementorganizational disciplineindependent decision-makingresults orientation