Senior Claims Representative (CL Specialty)

Davita Inc.; United States; Remote; USD 60,000 - 90,000; Full time

Job summary

Davita Inc. is seeking a skilled Senior Claims Representative to manage complex commercial specialty claims. The ideal candidate will work independently and handle unique cases that involve higher-risk features. This role provides the opportunity for professional growth within a recognized top workplace, offering both remote and hybrid work arrangements.

Benefits

Health Savings Account

Dental Insurance

Vision Insurance

401(k) Plan with Company Match

Paid Time Off

Bonus eligible based on performance

Qualifications

• Prior experience handling large and complex claims preferred.
• Proficiency with computers and current technology required.

Responsibilities

• Manage moderate to complex claims for commercial specialty accounts.
• Negotiate settlements with insureds, claimants, and attorneys.
• Conduct thorough investigations and evaluate damages and liability.

Skills

Negotiation

Communication

Problem Solving

Interpersonal skills

Education

Bachelor's Degree in Business or Insurance

Associate in Claims designation

CPCU coursework or continuing education

Job description

Senior Claims Representative (CL Specialty)

Job Locations

US-Remote | US-WI-West Bend | US-WI-Madison | US-WI-Appleton

ID

2025-3254

Category

Claims

Full-Time

Remote/Hybrid

Remote

Company Overview

Recognized as aMilwaukee Journal SentinelTop Workplace for 14 consecutive years, including three years of being honored as number one! Join us at West Bend, where we believe that our associates are our greatest asset. We hire talented individuals who are conscientious, dedicated, customer focused, and able to build lasting relationships. We create and maintain an environment where you feel a sense of belonging and appreciation. Your diversity of thought, experience, and knowledge are valued. We're committed to fostering a welcoming culture, offering you opportunities for meaningful work and professional growth. More than a workplace, we celebrate our successes and take pride in serving our communities.

Job Summary

We are seeking a skilled claims representative to manage moderate to complex claims for our Commercial Specialty Accounts. This role involves handling cases that may include unique or high-risk elements not typically covered under standard commercial policies, as well as third-party general liability claims. The ideal candidate will be able to work independently with minimal supervision and guidance from the manager.

Work Location

This position offers both remote and hybrid work locations. Candidates who reside within 50 miles of an office location (West Bend, Madison, Appleton) will be offered a hybrid work schedule. Candidates who are fully remote (beyond 50 miles) may occasionally be asked to travel to an office location for in-person engagement activities such as team meetings, training and corporate events.

Responsibilities & Qualifications

Summary of Responsibilities
Handle moderate to complex claims for the commercial specialty accounts that may involve unique and/or high-risk features not typically considered under standard commercial policies, as well as third party general liability claims with minimal supervision and guidance from the manager. Utilize current Claims technology. Research and formulate a basis on which coverage decisions will be made, conduct thorough investigations, evaluate damages and liability. Negotiate settlements with insureds, claimants and attorneys. Responsibilities also include active file management, ensuring proper reserving, participation in training activities, presentation of claims to Committee and participate in projects and initiatives as needed. Serve as a mentor for others in the team or department. Consistently exhibit a high level of customer service and adherence to department audit guidelines.

Preferred Experience and Skills
Proficiency with computers and current technology
Interpersonal skills
Negotiation skills and problem solving skills
Prior experience handling large and complex claims
Oral and written communication skills

Preferred Education and Training
Bachelor's degree in Business, Insurance or related field
Associate in Claims designation
Associate in General Insurance designation
CPCU coursework or other continuing education

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Benefits

West Bend offers a comprehensive benefit plan including but not limited to:

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.