Claims Representative III

Job Title

Claims Specialist

Company Overview

Recognized as a Milwaukee Journal Sentinel Top Workplace for 14 consecutive years, including three years of being honored as number one! Join us at West Bend, where we believe that our associates are our greatest asset. We hire talented individuals who are conscientious, dedicated, customer focused, and able to build lasting relationships. We create and maintain an environment where you feel a sense of belonging and appreciation. Your diversity of thought, experience, and knowledge are valued. We're committed to fostering a welcoming culture, offering you opportunities for meaningful work and professional growth. More than a workplace, we celebrate our successes and take pride in serving our communities.

Job Summary

The internal deadline to apply is xx/xx/xxxx. External applications will be accepted on a rolling basis while the position remains open.

Work Location

Office

This position is an in-office role located in West Bend, Madison or Appleton, WI. No remote opportunities for this position are available at this time.

Hybrid

This position offers a hybrid work schedule. Candidates who are located within 50 miles of a West Bend office location will work a hybrid schedule for collaboration days, team meetings or other in-person events. The position can be based in West Bend, Madison or Appleton.

Remote

This is a fully remote/work from home role. On occasion you may be asked to travel to an office location for in-person engagement activities such as team meetings, training and corporate events.

Hybrid or Remote

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

Summary of Responsibilities

Manage claims of moderate to high complexity with minimal supervision and guidance from the manager utilizing current Claim technology. Conduct thorough investigations in order to determine coverage, evaluate damages/benefits, and liability/compensability. Negotiate settlements with insureds, claimants, and attorneys. Responsibilities also include proactive file management, adequate reserving, and participation in training activities.

Key Responsibilities

• Consistently exhibit a high level of customer service.
• Adhere to department audit guidelines.
• Conduct thorough investigations to determine coverage, evaluate damages/benefits, and assess liability/compensability.
• Negotiate settlements with insureds, claimants, and attorneys.
• Maintain proactive file management and adequate reserving.
• Participate in projects and initiatives as needed.

Preferred Experience and Skills

• 4-6 years of experience in claims handling
• Prior experience managing claims with moderate complexity
• Proficiency with computers and current technology
• Interpersonal skills
• Oral and written communication skills
• Time management skills
• Customer service skills
• Negotiation and problem-solving skills
• Conflict resolution skills

Preferred Education and Training

• Bachelor's degree in business, Insurance or related field
• Associate in General Insurance designation
• Associate in Claims designation
• Licensed in jurisdictions where required

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.