Claims Manager (Workers' Compensation)

Society Insurance; Fond du Lac (WI); Hybrid; USD 110,000 - 145,000; Full time

Benefits offered by this job

Salary with bonus plan

Health insurance

401(k) with matching + profit sharing

Telecommuting options

Career coaching

Student loan reimbursement

Wellness program

Job summary

Society Insurance in Fond du Lac, WI, seeks an experienced Claims Manager to lead a Workers Compensation claims team and drive quality outcomes for policyholders, injured workers, and partners. The role oversees staff development, process improvements, and cross-department collaboration to ensure compliant, effective claim handling.

The role requires 10 years of direct WC claims handling (or 14 years multi-line with supervisory experience), licensing readiness, and a proven leadership track

Qualifications

• Bachelor’s degree in business or related field and 10+ years of experience in direct handling of complex workers’ compensation claims in IL, IN, CO, MN, WI, or TX – OR – 14 years of experience in multi-line claims including direct field claims losses, coverage analysis, litigation management, and substantial claims supervisory experience.
• Ability to obtain and maintain proper licensing prior to handling a state where Society requires it.
• Proven record of exemplary performance in direct handling of losses and claims supervision.
• Valid driver’s license and a satisfactory driving record.

Responsibilities

• Ensures timely completion, analysis, and reporting of quality reviews and mentoring of claims staff.
• Manages team on file handling, engagement, growth in claims knowledge, and career development.
• Assists the Director of Claims in selection, orientation, training, and development of claims staff.
• Analyzes workflows for compliance and implements recommendations with technical team.
• Oversees claims support operations and enforces productivity standards.
• Provides oversight on damages, coverage, and liability issues, ensuring compliance with laws.
• Develops training programs and identifies expert speakers for the department.
• Focuses on continuous improvement to streamline processes.
• Acts as SME and collaborates with Underwriting, Risk Control, and Marketing on claims trends.
• Maintains professional knowledge through continuing education and travel as needed.

Skills

Coaching

Decision making

Delegation

Data-driven decisions

Process improvement

Communication

Team building

Education

Bachelor’s degree in business or related field

Job description

About this position

Protecting our policyholders’ dreams, passions, and livelihoods has a direct impact on the communities we serve. We work towards excellence, conduct ourselves with high integrity, and take our work seriously, but not ourselves. Small Details. Big Difference. Find out how you can make a difference with a career at Society.

Society Insurance is seeking an experienced Claims Manager to join our Workers Compensation team. In this leadership role, you will provide direction, oversight, and support to a team of claims professionals while promoting consistent, effective claim handling and quality outcomes for policyholders, injured workers, agency partners, and the organization. You will also collaborate with internal business partners, identify opportunities to improve processes, support strategic claims initiatives, and help foster a culture of accountability, collaboration, and continuous development.

Home Department

Claims

Employment Status

Exempt; Full-time

Remote/Hybrid Worker (States include: CO, GA, IA, IL, IN, MN, TN, TX, WI)

About the Role

• Ensures the timely completion, analysis, and reporting of quality reviews and appropriate feedback to and mentoring of claims staff.
• Manages team on their file handling as well as their engagement, growth in claims handling knowledge, and their career growth.
• Assists the Director of Claims in the selection, orientation, training, and development of claims staff.
• Analyzes current business processes and workflows for compliance and prepares revision recommendations in order to maintain compliance. Works with technical team to implement recommendations.
• Accomplishes claims support operations by managing the claims support process, evaluating work results, and enforcing claims support productivity standards.
• Provides oversight to staff with recommendations and action by reviewing and analyzing damages, coverage, and liability issues for area of discipline ensuring compliance with all local, state, and federal laws. Identifies ongoing claims training needs.
• Works with Director of Claims to develop training programs and identifies expert speakers to address training needs of the department.
• Analyzes current business processes and workflows for compliance and prepares revision recommendations in order to maintain compliance. Works with technical team to implement recommendations. Focuses on continuous improvement to streamline processes.
• Acts as a Subject Matter Expert and collaborates closely with the Underwriting, Risk Control, and Marketing departments by providing feedback on claims trends.
• Maintains professional and technical knowledge by attending continuing education classes and courses to identify current and future changes for specific areas of discipline. This may require travel to attend seminars, training opportunities, monitoring trade publications, and developing key relationships with local contacts who are experts in the region and subject matter.
• Monitors data available including but not limited to key metrics, reports, dashboards, and claim audits to drive strategic and departmental goals while keeping claim costs and expenses reasonable and necessary.
• Assists in identifying vendors and products for Claims functions. Also assists with conducting periodic reviews and audits to ensure department and/or vendor guidelines are being met with the goal to provide high level service, claim cost saving measures, and expenses savings.

About You

• You enjoy coaching others by providing clear feedback, guidance, and opportunities to build their skills and reach their potential.
• You are decisive and make timely, sound decisions by evaluating available information, exercising sound judgment, and taking action with confidence.
• You delegate work effectively by clearly communicating expectations, empowering others, and supporting successful outcomes.
• You drive results by setting clear expectations, monitor progress, and provide timely feedback to help teams achieve goals.
• You use data, insights, and sound evidence to evaluate information, identify trends, and make thoughtful business decisions.
• You improve processes by identifying opportunities to streamline workflows, increase efficiency, and support consistent high-quality outcomes.
• You communicate clearly to build alignment and navigate relationships effectively while understanding organizational dynamics.
• You build collaborative teams that work together to achieve shared goals.

What it Will Take

• Bachelor’s degree in business or related field and 10 years of experience in the direct handling of complex workers’ compensation claims in IL, IN, CO, MN, WI, or TX – OR – 14 years of experience in multi-line claims including the following: direct field claims losses, coverage analysis, litigation management, and substantial claims supervisory experience.
• Ability to obtain and maintain proper licensing prior to handling a state where Society requires it.
• A proven record of exemplary performance in direct handling of losses and claims supervision.
• Valid driver’s license and a satisfactory driving record.
• Prior workers’ compensation claims handling experience in Colorado, Illinois, Indiana, Minnesota, and Texas is highly desirable.
• Significant experience directly handling small, medium, and large workers’ compensation claim investigations, experience with litigated workers’ compensation claims is highly desirable.

What Society Can Offer

• Comprehensive Benefits Package: Salary with bonus plan; health, dental, life, and vision insurance
• Retirement: Traditional or Roth 401(k) Defined Contribution Plan PLUS Profit-Sharing Plan
• Work-Life Balance: Company-paid holidays; flexible scheduling; PTO; telecommuting options
• Education: Career Coaching; company-paid courses; student loan and tuition reimbursement
• Wellness: Employee Assistance Program; wellness initiatives/rewards; health coaching; and more

Society Insurance prohibits discrimination and harassment of any type against applicants and employees on the basis of race, color, religion, sex, national origin, age, handicap, disability, genetics, veteran status or military service, marital status or sexual orientation, gender identity or expression, or any other characteristic or status protected by federal, state or local laws. Society Insurance also provides reasonable accommodations to qualified individuals with disabilities in accordance with the requirements of the Americans with Disabilities Act and applicable state and local laws. Society Insurance is a drug-free workplace.