Claims Representative – Workers Compensation

West Bend Insurance CompanyWI-West Bend US-WI-Madison US-WI-Appleton, WI
2d$67,000 - $100,000Hybrid

About The Position

When employees are injured on the job, they need someone who can guide them through the process with care and expertise. As a Workers’ Compensation Claims Representative at West Bend, you’ll guide injured employees through the recovery process, ensure fair and timely claim resolution, and help businesses stay compliant. If you thrive on problem-solving, negotiation, and making a real impact, this is your opportunity to lead with confidence. Work Location This position offers a hybrid schedule with three in-office collaboration days for team meetings and other events. In certain cases, highly qualified candidates with strong jurisdictional experience may be considered for a remote arrangement. The internal deadline to apply is 1/9/2026. External applications will be accepted on a rolling basis while the position remains open.

Nice To Haves

  • Prior experience managing claims at the appropriate level of complexity (from low/moderate to high-exposure/complex)
  • Proficiency with computers and current claim technology
  • Interpersonal, oral, and written communication skills with customer-focused professionalism
  • Negotiation, problem-solving, and conflict resolution skills
  • Time management and organizational discipline with proactive file handling
  • Independent decision-making ability (higher levels) and results orientation
  • Technical expertise in coverage analysis, compensability, and damages evaluation (higher levels)
  • Prior experience managing claims across multiple jurisdictions (higher levels) with preferred jurisdictions of Illinois, Wisconsin, and North Carolina
  • Bachelor’s degree in Business, Insurance or related field
  • Associate in General Insurance (AINS) designation
  • Associate in Claims (AIC) designation
  • CPCU coursework or other continuing education
  • Licensure in jurisdictions where required

Responsibilities

  • Investigate and resolve claims within assigned authority
  • Determine coverage, damages, and liability
  • Negotiate settlements with insureds, claimants, and attorneys
  • Maintain accurate documentation and reserving
  • Communicate promptly and professionally with all stakeholders
  • Collaborate with internal teams and external partners
  • Adhere to audit and compliance standards
  • Participate in training and team initiatives

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
  • E nhance d 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.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Number of Employees

1,001-5,000 employees

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