Senior Claims Representative (BI, GLPD, PIP)
About The Position
Manage a range of moderate to complex claims with minimal supervision, including bodily injury, PIP, and general liability property damage. Use critical thinking to research and develop a foundation for making coverage decisions. This position is an in-office role located in West Bend, Madison or Appleton, WI. 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.
Requirements
- At least 2–3 years of complex claims handling experience, particularly in bodily injury and general liability property damage claims.
- Strong analytical and critical thinking skills.
- Strong understanding of policy language, endorsements, contracts, risk transfer agreements, and indemnification tenders.
- Sound judgment.
- Strong negotiation and communication skills.
- Commitment to exceptional customer service.
- Ability to consistently meet quality and audit standards.
- Collaborative team player who embraces change.
- Enjoys solving complex claims challenges.
Nice To Haves
- Bachelor's degree in Business, Insurance, or a related field.
- AINS and/or AIC designations.
Responsibilities
- Manage a range of moderate to complex claims with minimal supervision, including bodily injury, PIP, and general liability property damage.
- Use critical thinking to research and develop a foundation for making coverage decisions.
- Take ownership of claims from investigation through resolution.
- Evaluate coverage, determine liability, assess damages, and negotiate fair settlements.
- Maintain accurate reserves.
- Manage files effectively.
- Present claims to committees when needed.
- Draft reservation of rights and coverage denial letters.
- Contribute to projects and process improvements.
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
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What This Job Offers
Job Type
Full-time
Career Level
Senior
