Senior Workers’ Comp Claims Strategist (Hybrid/Remote)

Society Insurance; Wisconsin; Hybrid; USD 60,000 - 85,000; Full time

Job summary

Society Insurance is seeking a Claims Representative II (Workers’ Compensation) to investigate, evaluate, and resolve moderate-to-severe WC claims. The role collaborates with injured workers, employers, and medical providers to determine coverage and negotiate settlements under company guidelines and state regulations.

The position supports hybrid and remote opportunities across CO, GA, IL, IN, IA, MN, TN, TX, and WI.

Qualifications

• Bachelor's degree or equivalent experience in claims handling.
• 3+ years of claims handling experience, or 5+ years with discretionary decision-making.
• Familiarity with PC applications including word processing, Internet, spreadsheets, and e-mail software.
• Ability to obtain and maintain proper licensing prior to handling required states.

Responsibilities

• Investigate, evaluate, and resolve moderate-to-severe Workers’ Compensation claims.
• Determine coverage and liability and coordinate with injured workers, employers, and medical providers.
• Negotiate appropriate claim resolutions according to guidelines, policy provisions, and state regulations.
• Maintain proper file documentation and prepare reports summarizing claim information.
• Contribute to department guidelines and provide feedback to underwriting as needed.

Skills

Communication

Relationship building

Negotiation

Accountability

Analytical thinking

Investigative approach

Education

Bachelor's Degree

Tools

Word processing

Excel

Email tools

Job description

Society Insurance is seeking a Claims Representative II (Workers’ Compensation) to investigate, evaluate, and resolve moderate-to-severe WC claims. The role collaborates with injured workers, employers, and medical providers to determine coverage and negotiate settlements under company guidelines and state regulations.

The position supports hybrid and remote opportunities across CO, GA, IL, IN, IA, MN, TN, TX, and WI.