Claims Representative ; Workers

Home Department:
Claims

Employment Status:
Exempt;
Full-time

Schedule:

40 hours/week with Flexible Scheduling Opportunities

Position Location:

Home Office, Hybrid, and Remote Opportunities in: CO, GA, IL, IN, IA, MN, TN, TX, & WI

Protecting our policyholders’ dreams, passions, and livelihoods has a direct impact on the communities we serve. We work towards excellence, conduct ourselves with high integrity, and take our work seriously, but not ourselves. Small Details. Big Difference. Find out how you can make a difference with a career at Society.

• Handle and settle mildly complex claims by determining the insurance carrier’s liability and reaching agreement with claimants/injured workers according to policy provisions and authority level.
• Handle subrogation.
• Determine insurance coverage by examining claim forms, policies, and other records; interview claimants/injured workers, insureds, and witnesses; review police and hospital records; and consult with experts when appropriate.
• Investigate and compare claims information with evidence to resolve questionable claims.
• Ensure company guidelines and procedures are followed during investigations and in the handling of discovery and settlement.
• Ensure proper file documentation by complying with claims handling guidelines and state requirements.
• Prepare reports by collecting, analyzing, and summarizing claim information.
• Develop and maintain professional, technical knowledge and expertise in a specified line(s) of business through training courses and continuing education coursework/classes.
• Contribute to team efforts by participating in determining department investigation guidelines and providing feedback to underwriting as needed.

You enjoy communicating and building relationships with others.

You are composed, cool under pressure, and can negotiate without damaging relationships.

You hold yourself accountable and act in accordance with rules and regulations.

You enjoy analyzing, investigating, and using facts to make decisions.

You are naturally curious and have a desire to know more.

You apply an investigative approach to identifying facts and evaluating evidence.

• Bachelor’s Degree in business or related field
• OR 3+ years of claims handling experience involving the exercise of discretionary decision-making 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 highly desirable.
• Professional insurance designations highly desirable.

Comprehensive Benefits Package:
Salary with bonus plan; health, dental, life, and vision insurance

Retirement:
Traditional or Roth 401(k) Defined Contribution Plan PLUS Profit‑Sharing Plan

Work‑Life Balance:
Company‑paid holidays; flexible scheduling; PTO; telecommuting options

Education:

Career Coaching; company‑paid courses; student loan and tuition reimbursement

Community:
Charitable Match; paid volunteer time; team sponsor ships

Wellness:
Employee Assistance Program; wellness initiatives/rewards; health coaching; and more

Society Insurance prohibits discrimination and harassment of any type against applicants and employees on the basis of race, color, religion, sex, national origin, age, handicap, disability, genetics, veteran status or military service, marital status or sexual orientation, gender identity or expression, or any other characteristic or status protected by federal, state or local laws. Society Insurance also provides reasonable accommodations to qualified individuals with disabilities in accordance with the requirements of the Americans with Disabilities Act and applicable state and local laws.

Society Insurance is a drug‑free workplace.