Workers Compensation Claims Representative

Auto-Owners Insurance

. Investigate and assemble facts, determine policy coverage, evaluate losses, analyze legal liability, and pay or deny losses .

Posted 10/14/2026full-timeUnited StatesMid-LevelSenior💰 $50,000 - $81,500 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in workers compensation claims handling, including policy coverage evaluation, loss analysis, and effective communication with stakeholders. Proficient in medical terminology and capable of resolving complex issues while maintaining accurate and timely payment processes.

Highest-signal resume keywords

Workers Compensation Claims HandlingMedical Terminology FamiliarityWritten And Verbal Communication SkillsData Organization And InterpretationComplex Issue Resolution

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims InvestigationPolicy Coverage EvaluationLoss AnalysisPayment AuthorizationInsurance Policy Review

Soft Skills

Decision MakingMulti-taskingOrganizational Skills

Industry Keywords

Insurance CarrierClaims ResolutionArbitrationMediationDeposition

About the role

Key responsibilities & impact

Investigate and assemble facts, determine policy coverage, evaluate losses, analyze legal liability, and pay or deny losses
Review medical bills, authorize payments, and ensure payments are issued accurately and promptly
Conduct investigations by phone, mail, and on-site
Contact employers, employees, hospitals, doctors, and attorneys to obtain claim information
Work toward claim resolution and attend arbitrations, mediations, depositions, or trials as necessary
Serve agents, policyholders, and injured workers
Review insurance policies, endorsements, and forms to develop insurance coverage knowledge

Requirements

What you’ll need

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 written and verbal communication skills
Ability to organize and interpret data, multi-task, and make decisions independently
Ability to resolve complex issues
Interest in developing product knowledge through participation in approved educational programs
Ability to work in the U.S. without current or future sponsorship

Benefits

Comp & perks

Merit-based work-from-home program after initial in-person training, as defined by leadership
Structured training program
Employee mentoring
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
Bonus opportunities