Claims Representative - Workers Compensation

Company Details

Rated Best Places to Work 2020 and 2022 by Business Insurance, Continental Western Group is a regional property casualty insurance company offering commercial products and services through independent agents in the Midwest. CWG provides unique value through the service provided by our experienced group of employees and independent agents. Since 1886 - Strong, Local and Trusted.

As a Berkley company, we enjoy operational flexibility that allows us to deliver quality coverage solutions. W. R. Berkley Corporation, and all member insurance companies, are rated A+ (Superior) by A.M. Best Company, and carry Standard & Poor's Financial Rating of A+ (Strong).

This role will be based in one of our three offices:

• Urbandale, IA
• Lincoln, NE
• Luverne, MN

We offer a hybrid work schedule with 4 days in the office; and 1 day remote where it makes sense to do so.

The Company is an equal employment opportunity employer. #LI-AV1 #LI-HYBRID

Responsibilities

As a Claims Representative, you'll investigate low to medium level workers' compensation claims in a prompt, equitable manner by analyzing coverage, liability/compensability and damages; evaluating reserves; and negotiating settlement or resolution of claim.

What you can expect:

• Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talent

• Internal mobility opportunities

• Visibility to senior leaders and partnership with cross functional teams

• Opportunity to impact change

• Benefits - competitive compensation, paid time off, comprehensive wellness benefits and programs, employer funded health savings account, profit sharing, 401k, paid parental leave, employee stock purchase plan, tuition assistance and professional continuing education

We'll count on you to:

• Examine and analyze policies, state statutes/rules and regulations, contracts and claim forms to determine coverage.

• Investigate loss in a prompt manner by on-site investigation, telephone, or correspondence to determine the extent of the Company's liability. Request necessary reports, e.g., police reports, fire reports, medical records, etc.

• Establish accurate claim reserves and re-evaluates exposures and reserves during the life of the claim. Correctly enter claim data and file documentation into claim and related systems for reporting purposes.

• Negotiate settlement or conclusion of claim.

• Participate in educational, coaching and mentoring opportunities to enhance claims adjusting skills and knowledge.

• Perform other related duties as assigned by management.

Qualifications

What you need to have:

• Two years Workers Compensation claims experience and/or training; or equivalent combination of education and experience.

• Ability to travel on an occasional basis.

• Proficient with Microsoft Word, Excel, and Outlook.

What makes you stand out:

• Bachelor's Degree preferred but not required.

• Ability to organize, prioritize and manage multiple tasks in a fast-paced environment; and quickly and professionally respond to inquiries from customers.

• Possess strong customer orientation; problem analysis and problem resolution skills; and interpersonal and communication skills.

Additional Company Details

We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

Sponsorship Details

Sponsorship not Offered for this Role Responsibilities As a Claims Representative, you'll investigate low to medium level workers' compensation claims in a prompt, equitable manner by analyzing coverage, liability/compensability and damages; evaluating reserves; and negotiating settlement or resolution of claim. What you can expect: - Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talent

• Internal mobility opportunities

• Visibility to senior leaders and partnership with cross functional teams

• Opportunity to impact change

• Benefits - competitive compensation, paid time off, comprehensive wellness benefits and programs, employer funded health savings account, profit sharing, 401k, paid parental leave, employee stock purchase plan, tuition assistance and professional continuing education We'll count on you to:

• Examine and analyze policies, state statutes/rules and regulations, contracts and claim forms to determine coverage.

• Investigate loss in a prompt manner by on-site investigation, telephone, or correspondence to determine the extent of the Company's liability. Request necessary reports, e.g., police reports, fire reports, medical records, etc.

• Establish accurate claim reserves and re-evaluates exposures and reserves during the life of the claim. Correctly enter claim data and file documentation into claim and related systems for reporting purposes.

• Negotiate settlement or conclusion of claim.

• Participate in educational, coaching and mentoring opportunities to enhance claims adjusting skills and knowledge.

• Perform other related duties as assigned by management.