Compensation Claims Specialist

1 week ago


Madison, Wisconsin, United States University of Wisconsin Full time
POSITION OVERVIEW

The University of Wisconsin system is a distinguished network of public higher education institutions, serving approximately 162,000 students annually and employing around 35,000 faculty and staff across the state.

The Office of Risk Management is dedicated to fostering a safe and healthy educational environment for all individuals involved in UW System programs and facilities.

Our mission encompasses:

  • Proactive loss prevention and health management
  • Quality management of property, liability, and workers' compensation claims
  • Protection of university assets
  • Conducting risk assessments and mitigation strategies

The Office is also responsible for developing and maintaining emergency management systems, monitoring high-risk areas, and providing expert guidance on workers' compensation claims and workplace injuries.

KEY RESPONSIBILITIES

This role involves managing a designated segment of university employee workers' compensation claims under the supervision of the Senior Examiner and Risk Manager.

  • Receive and investigate claims to determine approval, suspension, or denial in accordance with statutory guidelines.
  • Issue timely workers' compensation benefits and maintain appropriate case reserves following compensability determinations.
  • Interpret and assess medical reports to ascertain benefits.
  • Handle sensitive employee data and medical records with confidentiality.
  • Recommend the use of third-party services, including private investigations and independent medical evaluations.
  • Evaluate potential third-party lawsuits and inform relevant parties of the state's subrogation interests.
  • Assist in developing early return-to-work programs aimed at restoring injured workers to their pre-injury health and employment status.
  • Authorize payment of medical bills as appropriate.

MINIMUM QUALIFICATIONS

While prior experience in workers' compensation is advantageous, entry-level candidates are welcome as comprehensive training will be provided.

To qualify for this position, candidates must possess:

  • Exceptional written and verbal communication skills
  • Proficiency in Microsoft Office Suite
  • Strong customer service capabilities
  • Analytical skills to resolve complex issues independently

PREFERRED QUALIFICATIONS

Ideal candidates will have significant experience in:

  • Claims management
  • Basic medical terminology
  • Understanding and administering relevant workers' compensation laws and return-to-work initiatives

COMMITMENT TO INCLUSIVITY

The University of Wisconsin values the diverse contributions of each individual and is committed to creating an inclusive community that enriches the educational experience.

CONDITIONS OF EMPLOYMENT

All candidates must undergo a criminal background check prior to employment.

Successful applicants must ensure their eligibility to work in the United States on or before their appointment date.

WORK LOCATION

Limited telecommuting or hybrid work options may be available following a satisfactory probationary period.

COMPENSATION AND BENEFITS

This is a full-time, salaried position with a competitive annual salary range based on qualifications and experience, along with an excellent benefits package.



  • Madison, Wisconsin, United States University of Wisconsin Full time

    POSITION OVERVIEWThe University of Wisconsin system is a distinguished network of public higher education institutions, educating approximately 162,000 students annually and employing around 35,000 faculty and staff statewide.The Office of Risk Management is dedicated to fostering a safe and healthy educational environment for all stakeholders involved in UW...


  • Madison, Wisconsin, United States State Farm Mutual Automobile Insurance Company Full time

    About the RoleWe are seeking a highly skilled Property Field Inspection Claim Specialist to join our team at State Farm Mutual Automobile Insurance Company. As a key member of our claims handling team, you will be responsible for handling accidental and weather-related claims for homeowners, commercial properties, and large losses.Key ResponsibilitiesConduct...


  • Madison, Wisconsin, United States State Farm Mutual Automobile Insurance Company Full time

    About the RoleWe are seeking a highly skilled Property Field Inspection Claim Specialist to join our team at State Farm Mutual Automobile Insurance Company. As a key member of our claims handling team, you will be responsible for handling accidental and weather-related claims for homeowners, commercial properties, and large losses.Key ResponsibilitiesConduct...


  • Madison, Wisconsin, United States State Farm Mutual Automobile Insurance Company Full time

    Job SummaryWe are seeking a highly skilled Property Field Inspection Claim Specialist to join our team at State Farm Mutual Automobile Insurance Company. As a key member of our claims handling team, you will be responsible for handling accidental and weather-related claims for homeowners, commercial properties, and large losses.Key ResponsibilitiesConduct...


  • Madison, Wisconsin, United States State Farm Mutual Automobile Insurance Company Full time

    About the RoleWe are seeking a highly skilled Property Field Inspection Claim Specialist to join our team at State Farm Mutual Automobile Insurance Company. As a key member of our claims handling team, you will be responsible for handling accidental and weather-related claims for homeowners, commercial properties, and large losses.Key ResponsibilitiesConduct...


  • Madison, Wisconsin, United States University of Wisconsin Full time

    POSITION OVERVIEWThe University of Wisconsin is a distinguished public higher education system, educating approximately 162,000 students annually and employing around 35,000 faculty and staff statewide.The Office of Risk Management is dedicated to fostering a safe and healthy educational environment for all individuals involved in UW System programs and...


  • Madison, Wisconsin, United States Universities of Wisconsin Full time

    About the OrganizationThe Universities of Wisconsin represent a distinguished system of public higher education, serving approximately 162,000 students annually and employing around 35,000 faculty and staff throughout the state.With a network of 13 universities, the Universities of Wisconsin stand as a vital academic, cultural, and economic asset for the...


  • Madison, Wisconsin, United States HomeSafe Alliance Full time

    About the RoleThe Assistant Claims Manager role is a remote opportunity responsible for ensuring the claim settlements meet or exceed customer expectations and comply with regulatory and company standards.**Key Responsibilities:**Manage large claims, catastrophic loss situations, mold, unusual occurrences, inconvenience claims, property damage claims, and...


  • Madison, Wisconsin, United States Universities of Wisconsin Full time

    About the Universities of WisconsinThe Universities of Wisconsin represent a distinguished system of public higher education, serving approximately 162,000 students annually and employing around 35,000 faculty and staff across the state.With 13 institutions throughout Wisconsin, the Universities of Wisconsin stand as a vital academic, cultural, and economic...


  • Madison, Wisconsin, United States Students Full time

    OverviewAs students approach graduation, making informed career choices becomes essential. While your major may not dictate your entire career path, it certainly offers insights into your interests and potential job opportunities.For those pursuing a degree in business, especially in finance or accounting, a career as a chargeback review specialist is worth...


  • Madison, Wisconsin, United States Medica Full time

    The Claims Adjustment & Recoupment I position at Medica plays a crucial role in the financial operations of the organization. This role involves meticulous analysis, reconciliation, and application of payments, as well as the processing and management of applications and correspondence. The individual will also oversee customer/member mailings, ensuring that...


  • Madison, Wisconsin, United States American Family Insurance Full time

    Job Title: Executive Compensation Program AdministratorCompany: American Family Insurance GroupJob Summary:We are seeking an experienced Executive Compensation Program Administrator to join our team. The successful candidate will be responsible for administering the company's executive compensation programs, including base pay, short and long-term...


  • Madison, Wisconsin, United States Horace Mann Full time

    Client Support SpecialistAt Horace Mann, we are dedicated to supporting educators who shape the future of our children. We understand the importance of their financial well-being and strive to provide them with the necessary tools to achieve their goals. Our services include comprehensive insurance options and financial products tailored to their unique...


  • Madison, Wisconsin, United States BrightSpring Health Services Full time

    PHARMACY ORDER PROCESSING SPECIALIST Job Locations:ID:Line of Business: BrightSpring Health ServicesPosition Type: Full-TimeAt BrightSpring Health Services, we are dedicated to providing exceptional pharmacy services tailored to the needs of our clients. With a strong focus on quality and service excellence, we have established ourselves as a leader in the...

  • Rebate Specialist

    6 days ago


    Madison, Wisconsin, United States Gainwell Technologies Full time

    About Gainwell TechnologiesWe are a leading provider of innovative solutions for the healthcare industry, dedicated to improving the lives of millions of people. Our team of experts is passionate about harnessing the power of technology to drive positive change.Job SummaryWe are seeking a highly skilled Rebate Specialist to join our team. As a key member of...


  • Madison, Wisconsin, United States Direct Staffing Inc Full time

    Position Overview:This is a senior-level underwriting role. The Principal Underwriter is tasked with evaluating risks and recommending suitable Credit Union Protection insurance products while also identifying loss mitigation strategies for our most significant and intricate credit unions and associated entities in a competitive landscape. This role will...


  • Madison, Wisconsin, United States Horace Mann Full time

    Job SummaryWe are seeking a highly skilled Customer Service Representative to join our team at Horace Mann. As a Customer Service Representative, you will be responsible for providing exceptional customer service to our clients, responding to their inquiries, and resolving their issues in a timely and professional manner.Key ResponsibilitiesRespond to...


  • Madison, Wisconsin, United States UW Health Full time

    Position Overview:UW Health is seeking a highly skilled Pharmacy Technician Specialist to join our dynamic team in Madison, Wisconsin. As a Pharmacy Technician Specialist, you will play a crucial role in providing exceptional support to our pharmacists and clinic staff at multiple locations.Key Responsibilities:Assist pharmacists and clinic staff in...

  • HR Specialist

    2 months ago


    Madison, Wisconsin, United States Motion Recruitment Full time

    Global leader in residential real estate is seeking a detail-oriented and organized HR Specialist to assist with various administrative tasks.The ideal candidate will be responsible for handling mail, processing documents, managing employee records, and providing support to HR and management teams. This role requires excellent communication skills, attention...


  • Madison, Wisconsin, United States BrightSpring Health Services Full time

    Company OverviewBrightSpring Health ServicesPosition SummaryBrightSpring Health Services is a leader in providing specialized pharmacy solutions within the hospice sector. With decades of experience, we are committed to delivering exceptional pharmacy services that prioritize quality and patient care.Work Environment*NON REMOTE WORK*Schedule:Monday to Friday...