Workers Compensation Claims Representative

Job Title

This role is responsible for handling workers compensation claims independently with minimal oversight, using current claims technology and best practices.

Job Description

This position investigates claims thoroughly, evaluates coverage, damages, and liability, and makes sound decisions to resolve claims efficiently. Responsibilities include negotiating settlements with insureds, claimants, and attorneys; managing files from start to finish; setting and maintaining accurate reserves; and overseeing litigated claims. The role also participates in ongoing training, presents claims to committee as needed, mentors others on the team, and consistently delivers strong customer service while meeting department audit and quality standards.

Work Location

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.

Responsibilities & Qualifications

Handle work comp 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.

Preferred Experience and Skills:

• WI, IA, AZ, and PA claim handling experience a plus
• Work Comp Claim handling experience
• Handling litigated claims a plus
• Proficiency with computers and current technology
• Interpersonal skills
• Negotiation skills and problem solving skills
• Oral and written communication skills

Preferred Education and Training:

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

Salary Statement

The salary range for this position is $55,000-$86,000. The actual base pay offered to the successful candidate will be based on multiple factors, including but not limited to job-related knowledge/skills, experience, business needs, geographical location, and internal equity. Compensation decisions are made by West Bend and are dependent upon the facts and circumstances of each position and candidate.

Benefits

West Bend offers a comprehensive benefit plan including but not limited to:

• 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
• West Bend will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act for Colorado employees, in accordance with its plans and policies.

EEO

West Bend provides equal employment opportunities to all associates and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, and promotion.