Claims Representative - Workers Compensation

Job :

Locations: US-WI-West Bend | US-WI-Madison | US-WI-Appleton

Category:
Claims |

Employment Type:

Full-Time | Remote/Hybrid:
Hybrid

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.

When employees are injured on the job, they need someone who can guide them through the process with care and expertise. As a Workers' Compensation Claims Representative at West Bend, you'll guide injured employees through the recovery process, ensure fair and timely claim resolution, and help businesses stay compliant. If you thrive on problem-solving, negotiation, and making a real impact, this is your opportunity to lead with confidence.

This position offers a hybrid schedule with three in‑office collaboration days for team meetings and other events. In certain cases, highly qualified candidates with strong jurisdictional experience may be considered for a remote arrangement.

The internal Final date to receive applications is 1/9/2026. External applications will be accepted on a rolling basis while the position remains open.

As a Claims Representative, you will manage claims of varying complexity using current claim technology and best practices. You will conduct thorough investigations to determine coverage, evaluate damages/benefits, and assess liability/compensability. You will negotiate settlements with insureds, claimants, and attorneys while maintaining proactive file management, accurate reserving, and adherence to audit and regulatory standards. This role collaborates closely with internal partners and external stakeholders, with the scope of responsibility (including field work and regional liaison duties) increasing with experience level.

• 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

• 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 Illinois, Wisconsin, and North Carolina

• Bachelor's degree in Business, Insurance or related field
• Associate in General Insurance (AINS) designation
• Associate in Claims (AIC) designation
• CPCU coursework or other continuing education
• Licensure in jurisdictions where required

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The salary range for this position is $67,000 - $100,000. 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…