Claims Representative; Workers Comp

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.

Claims Representative (Workers Comp) Job Location s US-Remote   Category Claims Full-Time Remote/Hybrid Remote Company Overview

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.

Job Summary

Take ownership of complex workers comp claims from initial investigation through resolution, using your experience and judgment to make sound coverage, liability, and settlement decisions. This is an active claims desk, strong organization, time management, and the ability to effectively prioritize a busy workload are important to success.

Work Location

This position offers both remote and hybrid work locations. Candidates who reside within 50 miles of an office location (West Bend, Madison, Appleton) will be offered a hybrid work schedule. Candidates who are fully remote (beyond 50 miles) may occasionally be asked to travel to an office location for in-person engagement activities such as team meetings, training and corporate events.

Responsibilities & Qualifications

Summary of Responsibilities

Take ownership of complex workers comp claims from initial investigation through resolution, using your experience and judgment to make sound coverage, liability, and settlement decisions. This is an active claims desk, strong organization, time management, and the ability to effectively prioritize a busy workload are important to success.

In this role, you'll:

• Manage complex and higher-exposure workers comp claims with minimal supervision.
• Research policy language and develop well-supported coverage decisions.
• Conduct thorough investigations and evaluate liability, damages, reserves, and settlement strategy.
• Negotiate effectively with insureds, claimants, attorneys, and other involved parties.
• Oversee litigated files and partner with counsel to develop appropriate resolution strategies.
• Proactively manage a busy caseload while maintaining accurate reserves, timely follow-up, and strong file documentation.
• Present complex claims to Committee and clearly communicate recommendations.
• Collaborate with teammates and internal partners to resolve claims effectively.
• Serve as a resource and mentor to others on the Claims team.
• Deliver a high level of customer service while meeting department quality and audit standards.

Preferred Experience and Skills

We're looking for an experienced claims professional who is comfortable managing a fast-moving, active desk and brings strong judgment, communication, and collaboration skills.

• Prior experience handling large, complex, or higher-exposure claims.
• Excellent written and verbal communication skills.
• Strong investigation, negotiation, and problem-solving skills.
• Strong time management, organization, and prioritization skills.
• A team-oriented approach and willingness to collaborate and support others.
• Strong interpersonal skills and the ability to work effectively with insureds, claimants, attorneys, and internal partners.
• Comfort working independently and making decisions while knowing when to collaborate or elevate.
• Proficiency with claims technology and other computer-based tools.
• Experience handling claims in Nebraska, Kansas, and/or Missouri is preferred.
• Experience in Kansas and…