Claims Representative - Investigations
About The Position
This role is responsible for reviewing, analyzing, and investigating P&C insurance claims to determine their validity and ensure accurate and fair settlements. This role involves examining policy coverage, gathering evidence (such as statements, reports, and documentation), interviewing claimants and witnesses, and identifying potential fraud or inconsistencies. Work Location This position offers both remote and hybrid work locations. Candidates who reside within 50 miles of an office location (West Bend, Madison, Appleton) will be offered a hybrid work schedule. Candidates who are fully remote (beyond 50 miles) may occasionally be asked to travel to an office location for in-person engagement activities such as team meetings, training and corporate events. Are you ready to put your problem-solving skills to work and make a real difference for customers? We’re looking for a motivated Claims Professional to handle a variety of low to moderate complexity Personal and Commercial Lines auto, general liability (GL), and property damage (PD) claims.
Requirements
- We welcome candidates with a wide range of business backgrounds, including operations, sales, marketing, finance, customer service, or relatable skills
- Demonstrated ability to adapt quickly and contribute across multiple functional areas
- Excellent communication skills, both written and verbal
- Proven track record of managing priorities and delivering results in fast-paced settings
- Comfort with ambiguity and a willingness to take initiative in evolving business environments
- Experience handling auto and GL/PD claims is preferred.
Nice To Haves
- Bachelor’s degree or equivalent experience.
- Associate in General Insurance and/or Associate in Claims designation.
Responsibilities
- Investigate, evaluate, and resolve claims while delivering outstanding customer service.
- Negotiate settlements with insureds, claimants, and attorneys.
- Manage active files, ensure accurate reserving, and maintain compliance with audit guidelines.
- Learn and grow through hands-on training, mentorship, and project opportunities.
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
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
Number of Employees
1-10 employees
