Claims Representative III

West Bend Mutual Insurance Company; West Bend (WI); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical & Prescription Insurance

401(k) Plan with Company Match

Paid Time Off

Bonus eligible based on performance

Job summary

West Bend Mutual Insurance Company seeks a claims handler to manage moderate to high complexity claims in an in-office role at West Bend, Madison, or Appleton, WI. The ideal candidate will have 4-6 years of claims handling experience and demonstrate exceptional customer service skills.

Responsibilities include conducting thorough investigations, evaluating damages, and negotiating settlements. Benefits include medical, dental, vision insurance, and a 401(k) plan with a company match.

Qualifications

• 4-6 years of experience in claims handling.
• Prior experience managing claims with moderate complexity.
• Strong oral and written communication skills.

Responsibilities

• Manage claims of moderate to high complexity.
• Conduct thorough investigations to determine coverage and evaluate damages.
• Negotiate settlements with insureds and claimants.

Skills

Claims handling experience

Proficiency with computers

Interpersonal skills

Negotiation skills

Conflict resolution skills

Education

Bachelor's degree in business or related field

Associate in General Insurance designation

Licensed in jurisdictions where required

Job description

Job Summary

The internal deadline to apply is xx/xx/xxxx. External applications will be accepted on a rolling basis while the position remains open.

Work Location

Office

This position is an in‑office role located in West Bend, Madison or Appleton, WI. No remote opportunities for this position are available at this time.

Responsibilities & Qualifications

Summary of Responsibilities

Manage claims of moderate to high complexity with minimal supervision and guidance from the manager utilizing current Claim technology. Conduct thorough investigations in order to determine coverage, evaluate damages/benefits, and liability/compensability. Negotiate settlements with insureds, claimants, and attorneys. Responsibilities also include proactive file management, adequate reserving, and participation in training activities.

Key Responsibilities

• Consistently exhibit a high level of customer service.
• Adhere to department audit guidelines.
• Conduct thorough investigations to determine coverage, evaluate damages/benefits, and assess liability/compensability.
• Negotiate settlements with insureds, claimants, and attorneys.
• Maintain proactive file management and adequate reserving.
• Participate in projects and initiatives as needed.

Preferred Experience and Skills

• 4-6 years of experience in claims handling
• Prior experience managing claims with moderate complexity
• Proficiency with computers and current technology
• Interpersonal skills
• Oral and written communication skills
• Time management skills
• Customer service skills
• Negotiation and problem‑solving skills
• Conflict resolution skills

Preferred Education and Training

• Bachelor's degree in business, Insurance or related field
• Associate in General Insurance designation
• Associate in Claims designation
• Licensed in jurisdictions where required

Benefits

• 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
• West Bend will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act for Colorado employees, in accordance with its plans and policies.

EEO

West Bend provides equal employment opportunities to all associates and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, and promotion.