Claims Adjuster handling commercial claims for an innovative insurance startup utilizing real - time data. Collaborating with a global team and driving successful claims outcomes in a high - growth environment.
WC
Hybrid Claims Representative – Workers Compensation
Posted last month
About the role
- Workers’ Compensation Claims Representative at West Bend guiding injured employees through recovery process and ensuring timely claim resolution for businesses. Problem-solving and negotiation at the core of this role.
Responsibilities
- Investigate and resolve claims within assigned authority
- Determine coverage, damages, and liability
- Negotiate settlements with insureds, claimants, and attorneys
- Maintain accurate documentation and reserving
- Communicate promptly and professionally with all stakeholders
- Collaborate with internal teams and external partners
- Adhere to audit and compliance standards
- Participate in training and team initiatives
Requirements
- Prior experience managing claims at the appropriate level of complexity (from low/moderate to high-exposure/complex)
- Proficiency with computers and current claim technology
- Interpersonal, oral, and written communication skills with customer-focused professionalism
- Negotiation, problem-solving, and conflict resolution skills
- Time management and organizational discipline with proactive file handling
- Independent decision-making ability (higher levels) and results orientation
- Technical expertise in coverage analysis, compensability, and damages evaluation (higher levels)
- Prior experience managing claims across multiple jurisdictions (higher levels) with preferred jurisdictions of Minnesota and Iowa
Benefits
- 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.
- Enhance d PTO may be available for experienced candidates
- Bonus eligible based on performance
Job title
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