Claims Representative I - Workers Compensation Medical Only

West Bend Mutual Insurance•West Bend, WI

37d•$23 - $31•Hybrid

About The Position

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. Work Location This is not a remote position. Candidates who are located within 50 miles of a West Bend office location will work a hybrid schedule (at least 3 days/week) for collaboration days, team meetings or other in-person events. The position can be based in West Bend. External applications will be accepted on a rolling basis while the position remains open.

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.