Senior Claims Representative - Workers Compensation

West Bend Mutual Insurance • Appleton, WI

68d • $53,459 - $83,819 • Hybrid

About The Position

This position will be responsible for managing claims in the following preferred jurisdictions: WI, MI, IN. Handle moderate to complex claims with minimal supervision and guidance from the manager. Utilize current Claims technology. Research and formulate a basis on which coverage decisions will be made, conduct thorough investigations, evaluate damages and liability. Negotiate settlements with insureds, claimants and attorneys. Responsibilities also include active file management, ensuring proper reserving, participation in training activities, presentation of claims to Committee and supervision of litigated files. Serve as a mentor for others in the team or department. Consistently exhibit a high level of customer service and adherence to department audit guidelines.

Requirements

• Proficiency with computers and current technology.
• Interpersonal skills.
• Negotiation skills and problem-solving skills.
• Prior experience handling large and complex claims.
• Oral and written communication skills.

Nice To Haves

• Bachelor's degree in Business, Insurance or related field.
• Associate in Claims designation.
• Associate in General Insurance designation.
• CPCU coursework or other continuing education.

Responsibilities

• Handle moderate to complex claims with minimal supervision.
• Utilize current Claims technology.
• Research and formulate a basis for coverage decisions.
• Conduct thorough investigations.
• Evaluate damages and liability.
• Negotiate settlements with insureds, claimants, and attorneys.
• Active file management and ensuring proper reserving.
• Participate in training activities.
• Present claims to Committee.
• Supervise litigated files.
• Serve as a mentor for others in the team or department.
• Exhibit a high level of customer service and adherence to department audit guidelines.

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.

What This Job Offers

• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree
• Number of Employees: 1,001-5,000 employees