Claims Representative I – Workers Compensation Medical Only
About The Position
Recognized as a Milwaukee Journal Sentinel Top Workplace for 14 consecutive years, including three years of being honored as number one! Join us at West Bend, where we believe that our associates are our greatest asset. We hire talented individuals who are conscientious, dedicated, customer focused, and able to build lasting relationships. We create and maintain an environment where you feel a sense of belonging and appreciation. Your diversity of thought, experience, and knowledge are valued. We’re committed to fostering a welcoming culture, offering you opportunities for meaningful work and professional growth. More than a workplace, we celebrate our successes and take pride in serving our communities. Are you ready to put your problem-solving skills to the test while learning the ropes of the claims world? As our Medical Claims Detective, you’ll dive into low-complexity workers’ compensation claims like a true investigator—examining details, determining what's covered, and figuring out how much is owed. Don’t worry, you won’t go it alone—you’ll have the support of a fantastic manager and top-notch claims technology at your fingertips. This position offers a hybrid schedule (3 days in the office) for collaboration days, team meetings or other in-person events. The position can be based in West Bend, WI.
Requirements
- 0-2 years of experience in claims handling
- Proficiency with computers and current technology
- Interpersonal skills
- Oral and written communication skills
- Time management skills
- Customer service skills
- Problem-solving skills
Nice To Haves
- Bachelor’s degree in Business, Insurance or related field
Responsibilities
- Consistently exhibit a high level of customer service.
- Adhere to department audit guidelines.
- Conduct thorough investigations to determine coverage and payment.
- Maintain proactive file management and adequate reserving.
- Participate in training activities.
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
- West Bend will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act for Colorado employees, in accordance with its plans and policies.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
