Jobs · Finance · Wisconsin

Claims Specialist 1

Walbec Group · Waukesha, WI · 1 mo ago
FinanceFull-time

About the role

Under the direction of the Claims Manager, the Claims Specialist 1 is primarily responsible for handling Owned Property, Equipment, and Builder's Risk claims across multiple jurisdictions. The role serves as a key business partner responsible for investigation, documentation, reporting, follow‑up, and resolution of claims. This professional‑level position requires application of legal, analytical, and claims‑management principles, with a strong focus on organization, detail, sound judgment, and meeting established timelines.

Responsibilities

  • Investigates Owned Property, Equipment, Builder's Risk, and other assigned claims of simple to moderate complexity.
  • Conducts thorough claim and incident investigations.
  • Communicates regularly with Safety, Project Managers, field personnel, and other internal departments to obtain claim and incident information and supporting documentation.
  • Documents and maintains complete and accurate claim files, including associated costs, by entering claim and incident information into the Risk Management Information System, Origami.
  • Establishes timely and adequate reserves in accordance with the organization’s reserving philosophy and methodology.
  • Evaluates questions involving insurance coverage, liability, damages, contractual responsibility, and claim value.
  • Reviews applicable insurance policies, contracts, deductibles, coverage provisions, and project documentation.
  • Secures necessary official reports, claim forms, estimates, invoices, photographs, receipts, and other supporting documentation.
  • Reviews bills, estimates, invoices, and receipts for accuracy, reasonableness, and relevance to the claim.
  • Coordinates site inspections when necessary.
  • Works with internal and external parties to develop appropriate repair, replacement, mitigation, or resolution strategies.
  • Monitors claim activity and follows up with the appropriate parties to ensure claims progress toward timely resolution.
  • Identifies potential recovery opportunities and investigates and pursues recovery when appropriate.
  • Documents recovery efforts, including subrogation and other applicable sources of reimbursement.
  • Maintains appropriate follow‑up regarding outstanding documentation, payments, reimbursements, and recovery efforts.
  • Applies sound judgment and established claims‑handling principles when evaluating coverage, liability, damages, and recovery opportunities.
  • Maintains confidentiality of claim, employee, project, and company information.
  • Provides cross‑coverage for Workers' Compensation, General Liability, Auto Liability, and Auto Physical Damage claims, as necessary.

Requirements

  • Bachelor’s degree or a minimum of three years of equivalent relevant work experience.
  • Prior experience handling property, equipment, Builder's Risk, or multi‑line claims preferred.
  • Working knowledge of insurance coverage, claims investigation, reserving, damages evaluation, and recovery practices.
  • Ability to review and apply relevant insurance policy and contractual provisions.
  • Experience with Risk Management Information Systems, Origami, preferred.
  • Strong proficiency in Microsoft Office applications.

Skills

  • Strong analytical, organizational, and problem‑solving skills.
  • Strong written and verbal communication skills.
  • Strong interpersonal skills and the ability to work effectively with internal and external business partners.
  • Ability to manage multiple priorities and demanding assignments in a fast‑paced environment.
  • Ability to exercise sound judgment, maintain established timelines, and meet applicable deadlines.
  • Ability to work independently while appropriately escalating complex coverage, liability, contractual, or claim‑handling issues.
  • High level of discipline and a strong sense of responsibility and accountability.
  • Consistent attention to detail and commitment to maintaining complete and accurate claim documentation.
  • Valid driver’s license and ability to meet applicable company insurability standards.

Benefits

  • Competitive compensation aligned with industry standards.
  • Employer‑paid medical plan with HRA contribution (eligibility requirements).
  • Dental, vision, and life insurance.
  • Flex Spending Account (FSA).
  • Employee Assistance Program (EAP).
  • Company‑paid short and long‑term disability coverage.
  • Paid parental leave.
  • Generous PTO and paid holidays.
  • Profit sharing.
  • Robust Walbec training and professional development program.
  • Ongoing career growth opportunities.

Schedule

In‑office 5 days a week.

Similar jobs

Claims Specialist 1

Arkansas Blue Cross and Blue ShieldLittle Rock, AR· 1 wk ago
Sales$19.77–$25.68/hrapply on arkbluecross.wd1.myworkdayjobs.com

Claims Specialist 1

Public Consulting GroupEl Cajon, CA· 1 mo ago
Finance$19.5–$23.5/hrapply on pcg.wd1.myworkdayjobs.com

Claims Specialist 1

Public Consulting GroupChula Vista, CA· 2 mo ago
Finance$19.5–$23.5/hrapply on pcg.wd1.myworkdayjobs.com

Claims Specialist

Benecard Services, LLCBonita Springs, FL· 2 mo ago
Financeapply on workforcenow.adp.com

Claims Specialist

Benecard Services, LLCMechanicsburg, PA· 2 mo ago
Financeapply on workforcenow.adp.com

Claims Specialist

Hustle Notice BizUnited States· 1 mo ago
RemoteFinance$40k–$52k/yrapply on tally.so