Claims Representative - Investigations
About Us
Recognized as a Milwaukee Journal Sentinel Top Workplace for 14 consecutive years, including three years of being honored as number one! We believe that our associates are our greatest asset. We hire talented individuals who are conscientious, dedicated, customer focused, and able to build lasting relationships. We create and maintain an environment where you feel a sense of belonging and appreciation. Your diversity of thought, experience, and knowledge are valued. We’re committed to fostering a welcoming culture, offering you opportunities for meaningful work and professional growth. More than a workplace, we celebrate our successes and take pride in serving our communities.
Work Location
This position offers both remote and hybrid work locations. Candidates who reside within 50 miles of an office location (West Bend, Madison, Appleton) will be offered a hybrid work schedule. Candidates who are fully remote (beyond 50 miles) may occasionally be asked to travel to an office location for in-person engagement activities such as team meetings, training and corporate events.
Job Summary
This role is responsible for reviewing, analyzing, and investigating P&C insurance claims to determine their validity and ensure accurate and fair settlements. This role involves examining policy coverage, gathering evidence (such as statements, reports, and documentation), interviewing claimants and witnesses, and identifying potential fraud or inconsistencies.
Responsibilities
- Investigate, evaluate, and resolve claims while delivering outstanding customer service.
- Negotiate settlements with insureds, claimants, and attorneys.
- Manage active files, ensure accurate reserving, and maintain compliance with audit guidelines.
- Learn and grow through hands-on training, mentorship, and project opportunities.
What You Bring
- We welcome candidates with a wide range of business backgrounds, including operations, sales, marketing, finance, customer service, or relatable skills.
- Demonstrated ability to adapt quickly and contribute across multiple functional areas.
- Excellent communication skills, both written and verbal.
- Proven track record of managing priorities and delivering results in fast-paced settings.
- Comfort with ambiguity and a willingness to take initiative in evolving business environments.
- Experience handling auto and GL/PD claims is preferred.
Preferred Education & Credentials
- Bachelor’s degree or equivalent experience.
- Associate in General Insurance and/or Associate in Claims designation.
Pay & Benefits
Salary Range: $55,000–$77,000. The actual base pay offered will be based on multiple factors, including job-related knowledge/skills, experience, business needs, geographical location, and internal equity.
Benefits include:
- Medical & Prescription Insurance
- Health Savings Account
- Dental Insurance
- Vision Insurance
- Short and Long Term Disability
- Flexible Spending Accounts
- Life and Accidental Death & Disability
- Accident and Critical Illness Insurance
- Employee Assistance Program
- 401(k) Plan with Company Match
- Pet Insurance
- Paid Time Off – Standard first year PTO is 17 days, pro-rated based on month of hire. Enhanced PTO may be available for experienced candidates.
- Bonus eligible based on performance