Claims Manager - Workers Compensation

Society Insurance; Wisconsin; Hybrid; USD 120,000 - 180,000; Full time

Job summary

Society Insurance is seeking an experienced Claims Manager-Workers' Compensation to lead a team of claims professionals and ensure high-quality, compliant handling for policyholders and injured workers. The role emphasizes coaching, process improvement, and collaboration with underwriting, risk control, and marketing.

You will mentor staff, supervise complex investigations, and drive performance through data-driven insights while upholding regulatory requirements and company standards.

Qualifications

• Coaching staff with clear feedback and development plans.
• Decisive, data-driven decision making.
• Delegates work effectively to empower teams.
• Drives results with goal setting and feedback.
• Analyzes data to identify trends and inform decisions.
• Improves processes to increase efficiency and quality.
• Communicates clearly to align stakeholders.
• Builds collaborative, high-performing teams.

Responsibilities

• Provide direction, oversight, and mentoring to a claims team.
• Ensure timely quality reviews and feedback to staff.
• Support staff growth and career development.
• Assist in selection and training of claims staff.
• Analyze workflows for compliance and propose revisions.
• Manage claims support processes and productivity standards.
• Oversee damages, coverage, and liability analyses for compliance.
• Develop training programs with subject matter experts.
• Collaborate with Underwriting, Risk Control, Marketing on trends.
• Maintain professional knowledge through continuing education.
• Monitor dashboards, reports, and key metrics to guide goals.
• Identify vendors and conduct audits for cost savings.

Skills

Coaching

Decisive leadership

Delegation

Data-driven decision making

Process improvement

Clear communication

Team building

Mentoring

Education

Bachelor’s degree in business or related field

Job description

This position offers flexible remote/hybrid scheduling and is open to candidates located within the nine states where Society conducts business. Visit us at https://societyinsurance.com/ to learn more.

Overview

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-Workers' Compensation to join our 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.

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, training, and development of claims staff.
• Analyzes current business processes and workflows for compliance and prepares recommendations to maintain compliance.
• 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. This may require travel to attend seminars, training opportunities, monitoring trade publications, and developing relationships with local contacts who are experts in the region and subject matter.
• Monitors data available including key metrics, reports, dashboards, and audits to drive strategic and departmental goals while keeping 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.