Claims Representative (Bodily Injury)

Society Insurance; Fond du Lac (WI); Hybrid; USD 60,000 - 85,000; Full time

Job summary

Society Insurance in Wisconsin seeks a Claims Representative II focused on moderately complex bodily injury and general liability claims. You will investigate losses, determine liability, and negotiate settlements, with emphasis on CGL and premises liability.

The role includes handling litigation options, mediations, subrogation, and reporting. You will mentor junior staff, ensure proper documentation, and contribute to team guidelines while balancing compliance and customer relations in a

Qualifications

• Bachelor’s degree required or equivalent work experience.
• 3+ years of claims handling experience OR 5+ years of claims handling experience.
• Proficiency in general liability claims and coverage knowledge.
• Ability to obtain/maintain required state licenses.

Responsibilities

• Settle mildly complex claims by determining liability and reaching agreement.
• May support litigation by analyzing settlements, evidence, and supervising discovery.
• Handle mediations, arbitrations, subrogation, and recorded settlements.
• Determine coverage through investigations and interviewing involved parties.
• Mentor and train claims representatives in claims expertise.
• Resolve questionable claims by thorough investigation and evidence comparison.
• Ensure proper file documentation per company/state requirements.
• Prepare reports by collecting and summarizing claim information.
• Contribute to catastrophe teams and overall department guidelines.

Skills

Claims handling

Negotiation

Investigation

Communication

Mentoring

Education

Bachelor’s Degree

Tools

Guidewire Claims System

Job description

This Claims Representative (bodily injury) position offers flexible remote/hybrid work scheduling and we are targeting candidates who are located within the 9 states which Society conducts business in. 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 a Claims Representative II who excels at managing moderate‑to‑complex bodily injury and general liability claims. This role focuses on investigating losses, determining liability, and negotiating out‑of‑court settlements for mildly complex general liability claims. Successful candidates will have experience handling represented bodily injury claims, with a strong emphasis on Commercial General Liability (CGL) and premises liability exposures, along with the judgment and negotiation skills needed to navigate matters that advance into litigation.

About the Role

• Settles mildly complex claims by determining insurance carrier’s liability and reaches agreement with claimant according to policy provisions and authority level.
• May be involved with litigation by analyzing negotiated settlement options; evaluating evidence, and overseeing attorney in the handling of discovery and settlement.
• Handles mediations, arbitrations, subrogation, and recorded settlement agreements.
• Determines coverage through investigations by examining claim forms, policies, and other records; interviewing claimants, insureds, and witnesses; consulting police and hospital records; inspecting damages; and consulting with experts when appropriate.
• Mentors and trains claims representatives in claims expertise by assisting in identifying training needs and opportunities.
• Resolves questionable claims by investigating the claim and comparing claims information with evidence.
• Ensures proper file documentation of assigned files by complying with company and state requirements.
• Prepares reports by collecting, analyzing, and summarizing claim information.
• Contributes to team effort (as needed) by participating on catastrophe teams; participating in determining department investigation guidelines; providing feedback to underwriting as needed.

About You

• You enjoy communicating and building relationships with others.
• You are composed, cool under pressure, and can negotiate without damaging relationships.
• You hold yourself accountable and act in accordance with rules and regulations.
• You enjoy analyzing, investigating, and using the facts to make decisions.
• You are naturally curious and have a desire to know more.

What it Will Take

• Bachelor’s Degree and 3+ years of claims handling experience OR 5+ years of claims handling experience.
• Proficiency in general liability claims demonstrated through knowledge and experience in insurance policies and coverage, claim payment procedures, insurance regulations, and legal terminology.
• Ability to obtain and maintain proper licensing prior to handling a state that requires it.
• Litigation experience highly desirable.
• Experience using Guidewire Claims System 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