Claims Representative – Workers Compensation

West Bend Insurance Company

1d•$67,000 - $100,000•Hybrid

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.

Requirements

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

Nice To Haves

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. Enhanced PTO may be available for experienced candidates
Bonus eligible based on performance