Senior Claims Representative - Workers Compensation
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. As a Claims Representative, you will manage claims of varying complexity using current claim technology and best practices. You will conduct thorough investigations to determine coverage, evaluate damages/benefits, and assess liability/compensability. You will negotiate settlements with insureds, claimants, and attorneys while maintaining proactive file management, accurate reserving, and adherence to audit and regulatory standards. This role collaborates closely with internal partners and external stakeholders, with the scope of responsibility (including field work and regional liaison duties) increasing with experience level.
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 Minnesota and Iowa
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
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
Mid Level
