Worker's Comp Claims Specialist — Hybrid/Remote

Wisconsin Municipal Mutual Insurance Company; Madison (WI); Hybrid; USD 60,000 - 85,000; Full time

Job summary

Wisconsin Municipal Mutual Insurance Company seeks a Workers’ Compensation Representative to oversee claims from initial report to resolution. You will investigate liability, ensure timely processing, and protect organizational interests while supporting excellent member service.

Ideal candidates have 3+ years of WC claims experience, knowledge of Chapter 102, and strong communication skills. This hybrid/remote role includes occasional in-person meetings and travel within Wisconsin.

Qualifications

• Bachelor’s degree or equivalent combination of education and relevant work experience.
• 3+ years of workers’ compensation claims experience (3–5 years preferred).
• Experience handling medical-only, lost-time, and Medicare-related claims.
• Knowledge of Wisconsin Department of Workforce Development requirements and Chapter 102.
• Strong written and verbal communication skills, with the ability to explain claim information clearly.
• High attention to detail, sound judgment, confidentiality, and ability to manage multiple priorities.

Responsibilities

• Investigate workers’ compensation claims to assess liability, eligibility, and next steps.
• Manage claims from initial report through resolution.
• Authorize and document claim payments accurately and in accordance with requirements.
• Maintain compliance with federal, state, and municipal regulations, including Wisconsin Chapter 102.
• Prepare and submit required reports to regulatory agencies.
• Serve as a professional contact for claimants, employers, medical providers, attorneys, vendors, and internal team members.
• Negotiate settlements and support dispute resolution with fairness and sound judgment.
• Utilize claims management tools including Origami Risk and Verisk Claim Search; leverage MS Office applications.
• Contribute to process improvements, system enhancements, and operational efficiencies.

Skills

Communication skills

Analytical thinking

Time management

Verbal/written communication

Education

Bachelor’s degree or equivalent

Tools

Origami Risk

Verisk Claim Search

Microsoft Office

Job description

Wisconsin Municipal Mutual Insurance Company seeks a Workers’ Compensation Representative to oversee claims from initial report to resolution. You will investigate liability, ensure timely processing, and protect organizational interests while supporting excellent member service.

Ideal candidates have 3+ years of WC claims experience, knowledge of Chapter 102, and strong communication skills. This hybrid/remote role includes occasional in-person meetings and travel within Wisconsin.