Workers Compensation Senior Claims Representative

2 weeks ago

West Bend, United States West Bend Insurance Company Full time
Company Overview

Recognized as a Milwaukee Journal Sentinel Top Workplace for 12 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.

Responsibilities & Qualifications

This position may work from your office locations in West Bend, Madison, Appleton, Waukesha or remote from approved locations.

Handle complex workers compensation 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. Some travel required.

Preferred Experience and Skills
  • Claim handling experience of 5+ years experience includling handling complex litigated claims
  • Must have Nebraska claim handling jursidicition
  • Prior knowledge of Kansas, Missouri, and Iowa claim handling jursidiction preferred
  • Prior experience handling large accounts with high touch service demands
  • 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


#LI-LW1

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.

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