Workers Compensation Claims Representative
Appleton, Outagamie County, Wisconsin, 54914, USA
Listed on 2026-10-18
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Insurance
Insurance Analyst, Insurance Claims, Risk Manager/Analyst, Insurance Agent & Advisor
We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team.
Auto-Owners Insurance, a top-rated Insurance Carrier, is seeking a motivated candidate to join our team as a Claims Representative in our Workers Compensation Claims Branch. The position requires the following but is not limited to:
- Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability and pay or deny losses.
- Review medical bills, authorize payments and ensure payments are issued in a timely and accurate manner.
- Handle investigations by phone, mail and on-site investigations.
- Contact employers, employees, hospitals, doctors and attorneys to secure information to properly adjust the claim.
- Work toward the resolution of claims, and may attend arbitrations, mediations, depositions, or trials as necessary.
- Service the needs of agents, policyholders and injured workers.
- Become familiar with insurance coverage by reviewing insurance policies, endorsements and forms.
- Bachelor's degree or equivalent years of direct workers compensation claims handling experience for an insurance carrier.
- Familiarity with a broad range of medical terminology.
- Above average communication skills (written and verbal).
- Ability to organize and interpret data, multi-task, and make decisions independently.
- Ability to resolve complex issues.
- An interest in developing product knowledge through participation in approved educational programs.
Auto-Owners offers a generous compensation package. The base salary range for this position is $50,000-$81,500. Starting salary within the range is determined based on relevant experience, education, qualifications, and other job-related factors. Other components of the compensation package include several bonus opportunities.
Benefits- matched 401(k)
- fully funded pension plan (once vested)
- medical, prescription, dental and vision insurance
- associate, spouse and child life insurance
- short-term disability
- long-term disability
- health care flexible spending accounts
- dependent care flexible spending accounts
- generous paid time off including holidays, vacation days, personal time, sick leave and parental leave
- adoption assistance
- discounts on personal insurance
- education matching gift program
- gym membership and fitness class reimbursement program
Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law.
* Please note that the ability to work in the U.S. without current or future sponsorship is a requirement.
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