Claims Representative, Workers Comp

West Bend Insurance Company

. Take ownership of complex workers comp claims from initial investigation through resolution .

Posted 10/16/2026full-timeWisconsin • United StatesMid-LevelSenior💰 $70,000 - $90,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing complex workers compensation claims, including investigation, negotiation, and resolution strategies. Proficient in collaborating with internal partners and mentoring team members while delivering high-quality customer service.

Highest-signal resume keywords

Complex Claims ManagementInvestigation SkillsNegotiation SkillsTime ManagementBachelor's Degree in Business or Insurance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims InvestigationCoverage DecisionsLiability EvaluationSettlement StrategyFile DocumentationClaims Technology ProficiencyReserves ManagementAudit Standards ComplianceProblem-Solving SkillsCustomer Service

Soft Skills

Written CommunicationVerbal CommunicationTeam CollaborationInterpersonal SkillsOrganizational Skills

Certifications & Qualifications

Associate in Claims (AIC)Associate in General Insurance (AINS)CPCU Coursework

Industry Keywords

Workers CompensationHigher-Exposure ClaimsNebraska ClaimsKansas ClaimsMissouri Claims

About the role

Key responsibilities & impact

Take ownership of complex workers comp claims from initial investigation through resolution
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 with insureds, claimants, attorneys, and other involved parties
Oversee litigated files and partner with counsel on resolution strategies
Proactively manage a busy caseload while maintaining accurate reserves, timely follow-up, and strong file documentation
Present complex claims to Committee and communicate recommendations
Collaborate with teammates and internal partners to resolve claims
Serve as a resource and mentor to others on the Claims team
Deliver high customer service while meeting department quality and audit standards

Requirements

What you’ll need

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
Team-oriented approach and willingness to collaborate and support others
Strong interpersonal skills and ability to work effectively with insureds, claimants, attorneys, and internal partners
Comfort working independently and making decisions while knowing when to collaborate or escalate
Proficiency with claims technology and other computer-based tools
Experience handling claims in Nebraska, Kansas, and/or Missouri preferred; Kansas and Missouri experience especially valuable
Bachelor’s degree in Business, Insurance, or a related field preferred
Associate in Claims (AIC) designation preferred
Associate in General Insurance (AINS) designation preferred
CPCU coursework or other relevant insurance education or continuing professional development preferred

Benefits

Comp & perks

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
Applicable employee leave benefits, including Colorado Healthy Families and Workplaces Act leave for Colorado employees