Claims Representative I

West Bend Insurance Company•West Bend, WI

6d•Onsite

About The Position

Manage claims of low complexity with supervision and guidance from the manager utilizing current Claims technology. Conduct thorough investigations in order to determine coverage and claim payment amounts owed. Responsibilities also include proactive file management, adequate reserving, and participating in training activities. This position is an in-office role located in West Bend, WI. No remote opportunities for this position are available until training is completed.

Requirements

0–2 years of experience (claims, customer service, or related experience is a plus)
Comfort working with technology and learning new systems
Strong communication and interpersonal skills
Excellent time management and organizational skills
A problem-solving mindset and attention to detail
A genuine focus on delivering great customer experiences

Nice To Haves

Bachelor’s degree in Business, Insurance, or a related field preferred
Bachelor’s degree in Business, Insurance or related field

Responsibilities

Deliver a high level of customer service by guiding claimants through the process with professionalism and empathy
Investigate claims thoroughly to determine coverage and appropriate payment
Manage claim files proactively, ensuring accuracy, timeliness, and proper documentation
Establish and maintain appropriate reserves
Follow department guidelines and audit standards
Participate in ongoing training and development to build your expertise

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