Claim Representative - WI
Listed on 2026-10-01
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Insurance
Insurance Analyst, Insurance Claims, Risk Manager/Analyst, Insurance Agent & Advisor
Compensation:
Competitive Compensation and Benefits Package
AF Group’s focused and passionate team uses industry-leading best practices, analytics and resources to manage risk and minimize loss for our policyholders while strengthening businesses with our valued independent agent partners.
We strive to continuously increase the long-term value of our organization by outperforming our industry peers and fostering a culture of underwriting and claims excellence.
This is the entry-level professional claim handler. Handles medical only and indemnity benefits. Exercises some discretion in the determination of compensability of ...
Compensation
Actual compensation decision relies on the consideration of internal equity, candidate’s skills and professional experience, geographic location, market, and other ...
ResponsibilitiesConcludes and closes files following resolution of claims to meet internal performance standards while complying with state legislation to avoid penalties and manage ...
Workers' Compensation
Verifies workers’ compensation coverage of employers and injured employees. Determines compensability under workers’ compensation by thorough investigation of the ...
Claims
Documents specifics of claims with potential for subrogation recovery, including amount of potential recovery monies. Manages medical bills for ...
Works closely with manager on complex files or files above settlement/reserve authority. Manages outside vendors to ensure cost containment efforts. Establishes and ...
Performance
Establishes timely and appropriate reserves based on the profile of the claim within given authority based on anticipated financial exposure. Stays abreast of changes ...
RequirementsEducation & Experience
Bachelor’s degree in a related field. Relevant combination of education and experience may be considered in lieu of degree. Continuous learning, as defined by the ...
Knowledge
Ability and proficiency in the use of computers and company standard software specific to position. Knowledge of medical and legal terminology related to ...
Skills
Effective oral and written communication skills. Effective customer service skills. Ability to negotiate, build consensus and resolve conflict. Ability to manage ...
About UsAF Group’s focused and passionate team uses industry-leading best practices, analytics and resources to manage risk and minimize loss for our policyholders while strengthening businesses with our valued independent agent partners.
We strive to continuously increase the long-term value of our organization by outperforming our industry peers and fostering a culture of underwriting and claims excellence.
AF Group (Lansing, Mich.) and its subsidiaries are a premier provider of innovative insurance solutions. Insurance policies may be issued by any of the following companies within AF Group:
Accident Fund Insurance Company of America, Accident Fund National Insurance Company, Accident Fund General Insurance Company, United Wisconsin Insurance Company, Third Coast Insurance Company, or Comp West Insurance Company.
Company:
AF Group
Location:
WI, USA
Level:
Non-Manager
Compensation:
Competitive Compensation and Benefits Package
Job Family:
Claims Processing
Industry:
Insurance Services
This is the entry-level professional claim handler. Handles medical only and indemnity benefits. Exercises some discretion in the determination of compensability of claims. Considers many factors in the determination claim reserves. Negotiates and settles claims within given authority.
WORKING CONDITIONS:
Work is performed in an office setting with no unusual hazards. Minimal travel required.
PAY RANGE:Actual compensation decision relies on the consideration of internal equity, candidate’s skills and…
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