Claims Representative (Workers Comp)

West Bend Insurance Company•Remote,

1d•$70,000 - $90,000

About The Position

West Bend is seeking an experienced claims professional to manage complex workers’ compensation claims from initial investigation through resolution. The role requires sound judgment in making coverage, liability, and settlement decisions while managing an active caseload and prioritizing work effectively. The position may be remote or hybrid. Candidates who live within 50 miles of the West Bend, Madison, or Appleton offices will work a hybrid schedule. Fully remote employees who live farther away may occasionally be asked to travel to an office for team meetings, training, or corporate events. The successful candidate will provide customer service while meeting department quality and audit standards, collaborate with colleagues and internal partners, and serve as a resource and mentor to other members of the Claims team. The salary range is $70,000–$90,000. Actual compensation depends on factors including job-related skills, experience, business needs, location, and internal equity.

Requirements

Prior experience handling large, complex, or higher-exposure claims.
Excellent written and verbal communication skills.
Strong investigation, negotiation, and problem-solving skills.
Strong time-management, organization, and prioritization skills.
Team-oriented approach and willingness to collaborate and support others.
Strong interpersonal skills and ability to work effectively with insureds, claimants, attorneys, and internal partners.
Ability to work independently and make decisions, while knowing when to collaborate or escalate.
Proficiency with claims technology and other computer-based tools.

Nice To Haves

Experience handling claims in Nebraska, Kansas, and/or Missouri; Kansas and Missouri experience is especially valuable.
Bachelor’s degree in Business, Insurance, or a related field.
Associate in Claims (AIC) designation.
Associate in General Insurance (AINS) designation.
CPCU coursework or other relevant insurance education or continuing professional development.

Responsibilities

Manage complex and higher-exposure workers’ compensation claims with minimal supervision.
Research policy language and develop well-supported coverage decisions.
Conduct investigations and evaluate liability, damages, reserves, and settlement strategies.
Negotiate with insureds, claimants, attorneys, and other involved parties.
Oversee litigated files and partner with counsel on resolution strategies.
Manage an active caseload, maintain accurate reserves, follow up in a timely manner, and document claim files.
Present complex claims to Committee and communicate recommendations clearly.
Collaborate with teammates and internal partners to resolve claims.
Serve as a resource and mentor to others on the Claims team.
Deliver customer service while meeting department quality and audit standards.

Benefits

Medical and prescription insurance
Health Savings Account
Dental insurance
Vision insurance
Short- and long-term disability
Flexible Spending Accounts
Life and Accidental Death & Disability insurance
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, prorated based on month of hire, with enhanced PTO potentially available for experienced candidates
Performance-based bonus eligibility
Leave benefits in accordance with applicable state and local laws