Senior Workers' Claims Representative

Description

Western National Insurance Group is a private mutual insurance company with over 120 years of experience serving customers’ property-and-casualty insurance needs in the Midwestern, Northwestern, and Southwestern United States. Known as “The Relationship Company®,” we define success as a measure of the relationships we’ve built over time. In everything that we do, we know that delivering a friendly and helpful interaction makes for a better experience for everyone involved.

That’s the power of “nice”. At Western National, nice is something we work to bring to every person and organization with whom we partner and serve.

Western National is seeking a Senior Workers’ Compensation Claims Representative to join our team!

The individual in this role will have the opportunity to investigate, evaluate, negotiate, and resolve Workers’ Compensation insurance claims as assigned.

• Investigates, evaluates, negotiates, and resolves multi-line insurance claims as assigned.
• Handles moderate-to-high complexity claims within settlement authority.
• Ensures customer service excellence.
• Investigates and reviews policy forms, facts, and documents related to claims to make appropriate decisions on claims resolution.
• Recognizes claim files exposures and escalates appropriately.
• Establishes and reviews proper reserves for each claim based upon thorough investigation, evaluation, and experience, maintaining appropriate reports to ensure current status of claims are clearly documented at all times.
• Provides direction to outside resources.
• Makes decisions guided by general instructions and practices requiring interpretation.
• Makes decisions on routine issues.
• Makes recommendations to solve more complex problems.
• Recognizes problems or situations that are new or without clear precedent.
• Finds solutions using a systematic, multi-step approach.
• Develops improvements and innovations to enhance performance.
• Keeps in regular contact with customers (e.g., policyholders, claimants, agents) as well as employees across the organization.
• Handles regular contact with outside vendors.
• Travels on short notice for field work as required (e.g., scene investigations, inspecting property losses).
• Performs special projects and other duties as assigned.

• A minimum of Three to five years of experience with Workers’ Compensation claims.
• Strong understanding of industry practices, standards, and claims concepts.
• Ability to multitask and solve problems.
• Proficient oral and written communication skills.
• Strong negotiation and relationship‑building skills.
• Analytical with the ability to exercise sound business judgment.
• Strong time management skills.
• Bachelor’s degree or related experience.

Prior experience managing Workers’ Compensation claims in several of our operating states is required. Our footprint includes Wisconsin, Illinois, Iowa, Minnesota, South Dakota, Michigan, and New York. Experience handling claims across multiple jurisdictions and navigating differing state regulations is strongly preferred.

AIC or AINS certification strongly preferred.

Proficient use of various core systems, office and computer equipment, and software packages.

The full hiring range for this role is $66,300 - $91,190, annually. However, the base pay offered may vary depending on the job‑related knowledge, skills, credentials, and experience of each candidate as well as other factors such as the scope and location of the role. Candidates looking for compensation outside of the posted range are encouraged to apply and will be considered based on their individual qualifications and / or may be considered for other positions.

Western National Insurance Group reserves the right to fill this position at a level above or below the level included in this posting.

Western National has long been known as “The Relationship Company®” and caring for our employees is part of that relationship commitment. We value connectiveness, empowerment, and accountability, and we believe that our…