West Bend Insurance Company · 2 weeks ago
Claims Representative – Workers Compensation
US-WI-West Bend
Full-time
Hybrid
Mid, Senior Level
$67K/yr - $100K/yrWest Bend Insurance Company is a recognized Top Workplace, dedicated to fostering a welcoming culture and professional growth. As a Workers’ Compensation Claims Representative, you will guide injured employees through the claims process, negotiate settlements, and ensure compliance while collaborating with various stakeholders.
Financial Services
Responsibilities
Investigate and resolve claims within assigned authority
Determine coverage, damages, and liability
Negotiate settlements with insureds, claimants, and attorneys
Maintain accurate documentation and reserving
Communicate promptly and professionally with all stakeholders
Collaborate with internal teams and external partners
Adhere to audit and compliance standards
Participate in training and team initiatives
Qualification
Required
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
Preferred
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
Bachelor's degree in Business, Insurance or related field
Associate in General Insurance (AINS) designation
Associate in Claims (AIC) designation
CPCU coursework or other continuing education
Licensure in jurisdictions where required
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. Enhanced PTO may be available for experienced candidates
Bonus eligible based on performance
Company
West Bend Insurance Company
For more than 130 years, West Bend has been a trusted provider of insurance products, serving the diverse needs of business, home, and automobile owners.
Founded in 1894
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Dave Ertmer
Sr. Vice President & Chief Operating Officer
Company data provided by crunchbase