West Bend Mutual Insurance Company
Claims Representative - Workers Compensation
West Bend Mutual Insurance Company, Appleton, Wisconsin, United States, 54914
Job ID: 2025-3450
Locations: US-WI-West Bend | US-WI-Madison | US-WI-Appleton
Category: Claims | Employment Type: Full-Time | Remote/Hybrid: Hybrid
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 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.
Work Location 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 deadline to apply is 1/9/2026. External applications will be accepted on a rolling basis while the position remains open.
Responsibilities & Qualifications 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.
Key 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
Preferred Experience and Skills
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
Preferred Education and Training
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
#LI-LW1
Salary Statement 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 Bend and are dependent upon the facts and circumstances of each position and candidate.
Benefits West Bend offers a comprehensive benefit plan including but not limited to:
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. Enhanced PTO may be available for experienced candidates.
Bonus eligible based on performance
West Bend will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act for Colorado employees, in accordance with its plans and policies.
EEO West Bend provides equal employment opportunities to all associates and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, and promotion.
#J-18808-Ljbffr
Locations: US-WI-West Bend | US-WI-Madison | US-WI-Appleton
Category: Claims | Employment Type: Full-Time | Remote/Hybrid: Hybrid
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 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.
Work Location 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 deadline to apply is 1/9/2026. External applications will be accepted on a rolling basis while the position remains open.
Responsibilities & Qualifications 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.
Key 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
Preferred Experience and Skills
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
Preferred Education and Training
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
#LI-LW1
Salary Statement 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 Bend and are dependent upon the facts and circumstances of each position and candidate.
Benefits West Bend offers a comprehensive benefit plan including but not limited to:
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. Enhanced PTO may be available for experienced candidates.
Bonus eligible based on performance
West Bend will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act for Colorado employees, in accordance with its plans and policies.
EEO West Bend provides equal employment opportunities to all associates and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, and promotion.
#J-18808-Ljbffr