Senior Workers' Comp Claims Specialist (Hybrid/Remote)

Society Insurance; Fond du Lac (WI); Hybrid; USD 65.000 - 90.000; Vollzeit

Benefits dieser Stelle

Comprehensive Benefits Package

Flexible scheduling

Telecommuting options

Career coaching and tuition support

Zusammenfassung

Society Insurance is seeking a Claims Representative II (Workers’ Compensation) to investigate, evaluate, and resolve moderate-to-severe claims. You will determine coverage, coordinate with injured workers and providers, and negotiate settlements within company guidelines and state regulations.

The role emphasizes investigative reasoning, attention to detail, and strong communication to support policyholders and employers across multiple states.

Qualifikationen

• Excellent communication and relationship-building skills.
• Analytical mindset with investigative approach to facts.
• Ability to negotiate without harming relationships.

Aufgaben

• Investigate, evaluate, and resolve moderate-to-severe workers’ compensation claims.
• Determine coverage by reviewing claim forms, policies, and records.
• Coordinate with injured workers, employers, and medical providers; manage subrogation as needed.
• Assist with litigation processes and oversee settlement discussions when appropriate.
• Ensure case documentation complies with guidelines and state regulations.

Kenntnisse

Strong communication

Relationship-building

Investigative analysis

Negotiation

Team collaboration

Ausbildung

Bachelor’s Degree

Tools

Microsoft Office

Jobbeschreibung

Society Insurance is seeking a Claims Representative II (Workers’ Compensation) to investigate, evaluate, and resolve moderate-to-severe claims. You will determine coverage, coordinate with injured workers and providers, and negotiate settlements within company guidelines and state regulations.

The role emphasizes investigative reasoning, attention to detail, and strong communication to support policyholders and employers across multiple states.