Regional Claims Representative - Workers Compensation

West Bend Insurance Company•WI-West Bend US-WI-Madison US-WI-Appleton US-MN-Minneapolis US-IA-Iowa City, IA

1d•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. 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. Dependent on location and applicable experience this position offers a fully remote or hybrid office schedule. The hiring team handles primarily MN & IA workers compensation claims as well as SD & WI. While remote associate preference would reside within one of these states, others may be considered.

Requirements

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 and results orientation
Technical expertise in coverage analysis, compensability, and evaluation of claims

Nice To Haves

Prior experience managing claims in Minnesota and/or Iowa
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

Manage claims of varying complexity using current claim technology and best practices.
Conduct thorough investigations to determine coverage, evaluate benefits, and assess compensability.
Negotiate settlements with insureds, claimants, and attorneys.
Maintain proactive file management, accurate reserving, and adherence to audit and regulatory standards.
Collaborate closely with internal partners and external stakeholders, with the scope of responsibility increasing with experience level.
Investigate and resolve claims within assigned authority.
Determine coverage and liability.
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.