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Western National Insurance · 2 days ago

Senior Workers' Compensation Claims Representative

Edina, MN

Full-time

Hybrid

Mid, Senior Level

$65K/yr - $93K/yr

3+ years exp

Western National Insurance Group is a private mutual insurance company with over 120 years of experience serving customers' property-and-casualty insurance needs. They are seeking a Senior Workers’ Compensation Claims Representative to investigate, evaluate, negotiate, and resolve Workers’ Compensation insurance claims as assigned.

Auto InsuranceCommercial InsuranceInsurance

Growth Opportunities

No H1B

Responsibilities

Investigates, evaluates, negotiates, and resolves multi-line insurance claims as assigned

Handles moderate-to-high complexity claims within settlement authority

Ensures customer service excellence

Investigates and reviews policy forms, facts, and documents related to claims to make appropriate decisions on claims resolution

Recognizes claim files exposures and escalates appropriately

Establishes and reviews proper reserves for each claim based upon thorough investigation, evaluation, and experience, maintaining appropriate reports to ensure current status of claims are clearly documented at all times

Provides direction to outside resources

Makes decisions guided by general instructions and practices requiring interpretation

Makes decisions on routine issues

Makes recommendations to solve more complex problems

Recognizes problems or situations that are new or without clear precedent

Finds solutions using a systematic, multi-step approach

Develops improvements and innovations to enhance performance

Keeps in regular contact with customers (e.g., policyholders, claimants, agents) as well as employees across the organization

Handles regular contact with outside vendors

Travels on short notice for field work as required (e.g., scene investigations, inspecting property losses)

Performs special projects and other duties as assigned

Qualification

Workers’ Compensation claimsAnalytical skillsNegotiation skillsAIC certificationAINS certificationCommunication skillsMultitaskingTime managementProblem-solvingRelationship-building

Required

Three to five years of experience with Iowa and Wisconsin Workers' Compensation claims

Strong understanding of industry practices, standards, and claims concepts

Ability to multitask and solve problems

Proficient oral and written communication skills

Strong negotiation and relationship-building skills

Analytical with the ability to exercise sound business judgment

Strong time management skills

Bachelor's degree or related experience

Preferred

Prior experience handling Minnesota, South Dakota, Michigan, and / or New York Workers' Compensation claims

AIC or AINS certification strongly preferred

Proficient use of various core systems, office and computer equipment, and software packages

Benefits

Medical insurance plan options and other standard employee benefits, including dental insurance, vision benefits, life insurance, disability insurance, and more!

Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA)

401(k) Plan (participants are eligible for 100% matching on the first 6% of their contributions)

Wellbeing Program, including onsite fitness studio

Paid Time Off – including holiday, vacation, and volunteer

100% company-paid tuition reimbursement for approved job-relevant coursework and access to The Institutes (Risk and insurance education)

Paid parental leave

Bonus opportunities