Workers’ Compensation Claims Specialist – Hybrid/Remote

Society Insurance; Fond du Lac (WI); Hybrid; USD 52,000 - 76,000; Full time

Benefits offered by this job

Salary with bonus plan

Health insurance

401(k) retirement plan

Flexible scheduling

PTO

Job summary

Society Insurance in Wisconsin seeks a Claims Representative I (Workers’ Compensation). You will handle mildly complex claims, determine coverage, settle with claimants, review records, and coordinate with experts as needed.

This exempt, full‑time position supports a hybrid work model with home office and remote options in multiple states, offering competitive benefits, ongoing training, and opportunities to build professional expertise within the Claims department.

Qualifications

• Bachelor’s Degree in business or related field.
• OR 3+ years of claims handling experience as determined by Society Insurance.
• OR 5+ years of knowledge in the property & casualty insurance industry.
• Familiarity with PC applications including word processing, Internet, spreadsheets, and e-mail software.
• Ability to obtain and maintain proper licensing prior to handling a state that requires it.
• Valid driver’s license and a satisfactory driving record as determined by Society Insurance.
• Prior workers’ compensation indemnity experience is highly desirable.
• Professional insurance designations are highly desirable.

Responsibilities

• Handles and settles mildly complex claims by determining insurance carrier’s liability; reaching agreement with claimants/injured workers according to policy provisions and authority level; and handling subrogation.
• Determines insurance coverage by examining claim forms, policies, and other records; interviewing claimants/injured workers, insureds, and witnesses; reviewing police and hospital records; and consulting with experts when appropriate.
• Resolves questionable claims by investigating and comparing claims information with evidence.
• Ensures company guidelines and procedures are followed during investigations and in the handling of discovery and settlement.
• Ensures proper file documentation by complying with claims handling guidelines and state requirements.
• Prepares reports by collecting, analyzing, and summarizing claim information.
• Develops and maintains professional, technical knowledge and expertise in a specified line(s) of business through training courses and participating in continuing education coursework/classes.
• Contributes to team effort by participating in determining department investigation guidelines; and providing feedback to underwriting as needed.

Skills

Communication

Relationship building

Negotiation

Composure under pressure

Accountability

Analytical thinking

Investigative approach

Curiosity

Education

Bachelor’s Degree in business or related field

3+ years claims handling experience

5+ years knowledge in P&C insurance

Tools

MS Office

Internet

Email

Spreadsheets

Job description

Society Insurance in Wisconsin seeks a Claims Representative I (Workers’ Compensation). You will handle mildly complex claims, determine coverage, settle with claimants, review records, and coordinate with experts as needed.

This exempt, full‑time position supports a hybrid work model with home office and remote options in multiple states, offering competitive benefits, ongoing training, and opportunities to build professional expertise within the Claims department.