Bilingual Claims Lead – Workers' Comp & Return-to-Work

SWBC; Town of Texas (WI); Hybrid; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive compensation

Work/Life balance

401(k) retirement plans

Wellness program

Career development opportunities

Job summary

SWBC is seeking a diligent claims manager to oversee workers' compensation claims from initial injury reporting through closure. You will liaise with clients, injured employees, carriers, and internal teams to drive timely resolution and positive outcomes, while educating all parties on procedures and return-to-work programs.

The role requires at least 4 years in claims management, a bachelor’s degree in HR/Insurance or related field, and bilingual Spanish proficiency.

Qualifications

• Bachelor’s degree in Human Resources, Risk Management and Insurance or a related field from an accredited four-year college or university (preferred).
• Minimum of four (4) years of experience in claims management or related field.
• Working knowledge of workers' compensation claims processes, return-to-work programs, and claim resolution practices.
• Knowledge of OSHA regulations, workplace safety practices, and accident prevention programs preferred.
• Bilingual (Spanish) language ability is required.

Responsibilities

• Coordinates and manages workers' compensation claims from initial injury reporting through resolution and closure.
• Serves as the primary liaison between client companies, injured employees, insurance carriers, claim adjusters, medical providers, payroll, HR, and internal stakeholders.
• Educates clients and injured employees on workers' compensation procedures, reporting requirements, return-to-work programs, available resources, and responsibilities throughout the claims process.
• Coordinates claim documentation, wage reporting, claim-related communications, and return-to-work activities to support positive claim outcomes.
• Monitors claim progress and collaborates with carriers, adjusters, employers, and medical providers to facilitate efficient claim resolution.
• Reviews claim status with carriers and adjusters, participates in client claim reviews, and assists with collection and analysis of claims history, loss trends, and risk-related information.
• Maintains accurate claim records, documentation, and reporting.
• Maintain necessary certifications.
• Performs all other duties as assigned.

Skills

Bilingual (Spanish)

Organizational skills

Education

Bachelor’s degree in HR/Insurance or related field

Job description

SWBC is seeking a diligent claims manager to oversee workers' compensation claims from initial injury reporting through closure. You will liaise with clients, injured employees, carriers, and internal teams to drive timely resolution and positive outcomes, while educating all parties on procedures and return-to-work programs.

The role requires at least 4 years in claims management, a bachelor’s degree in HR/Insurance or related field, and bilingual Spanish proficiency.