Workers Compensation Claims Representative

Auto-Owners Insurance Company • Lake Elmo, MN

6h

About The Position

Auto-Owners Insurance is seeking a motivated Associate Claim Representative to join its Workers Compensation Claims Branch. The role investigates and adjusts workers’ compensation claims, determines coverage and liability, evaluates losses, and makes payment or denial decisions. It includes reviewing medical bills and coordinating timely, accurate payments; gathering information from employers, employees, medical providers, and attorneys; and serving agents, policyholders, and injured workers. Claims may be investigated by phone, mail, and on-site, and the representative may participate in arbitrations, mediations, depositions, or trials as needed.

After initial in-person training, the position may offer work-from-home flexibility based on job responsibilities and leadership-team direction. The role also involves learning insurance coverage through review of policies, endorsements, and forms, and developing product knowledge through approved educational programs.

Requirements

• Bachelor’s degree or equivalent years of direct workers’ compensation claims-handling experience for an insurance carrier.
• Familiarity with a broad range of medical terminology.
• Above-average written and verbal communication skills.
• Ability to organize and interpret data, multitask, and make decisions independently.
• Ability to resolve complex issues.
• Interest in developing product knowledge through approved educational programs.
• Ability to work in the U.S. without current or future sponsorship.

Responsibilities

• Investigate and assemble facts, determine policy coverage, evaluate losses, analyze legal liability, and pay or deny claims.
• Review medical bills, authorize payments, and ensure payments are issued accurately and on time.
• Conduct investigations by phone, mail, and on-site.
• Contact employers, employees, hospitals, doctors, and attorneys to obtain information needed to adjust claims.
• Work toward claim resolution and attend arbitrations, mediations, depositions, or trials when necessary.
• Serve agents, policyholders, and injured workers.
• Review insurance policies, endorsements, and forms to become familiar with insurance coverage.

Benefits

• Matched 401(k)
• Fully funded pension plan once vested
• Bonus programs and several bonus opportunities
• Paid holidays, vacation days, personal time, and sick leave
• Friendly work environment
• Structured training program
• Employee mentoring
• Excellent compensation and benefits package
• Work-from-home flexibility after initial in-person training, as defined by leadership and based on job responsibilities

What This Job Offers

• Job Type: Full-time