Senior Workers’ Compensation Claims Specialist

Description

Who are we?

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.

Does this opportunity interest you?

Western National is seeking a Workers’ Compensation Claims Specialist to join our team! The individual in this role will have the opportunity to investigate, evaluate, negotiate, and resolve complex and large-exposure Workers’ Compensation insurance claims while serving as a technical consultant and subject matter expert for business partners and fellow claims professionals. 

What are the responsibilities and opportunities of this role?

• Investigates, evaluates, negotiates, and resolves Workers’ Compensation claims as assigned. 
•  Handles complex and large-exposure Workers’ Compensation claims. 
• Ensures customer service excellence. 
• Reviews coverage, investigates facts, and evaluates claim-related materials to make appropriate decisions regarding compensability, exposure, and claim resolution. 
• Establishes and reviews appropriate reserves for each claim based on thorough investigation, evaluation, and jurisdictional expertise. 
• Maintains accurate reports and documentation to ensure claim status is clearly documented at all times.
• Provides direction to outside resources. 
• Serves as a technical consultant and subject matter expert to business partners and other claims representatives. 
• Makes decisions guided by general instructions and practices requiring interpretation. 
• Makes decisions automatically on routine issues. 
• Recognizes problems or situations that are new or without clear precedent. 
• Finds solutions using a systematic, multi-step approach. 
• Develops improvements and innovations that enhance performance and claim outcomes. 
• Maintains regular contact with customers, including policyholders, claimants, and agents, as well as employees across the organization. 
• Maintains regular contact with outside vendors. 
• Occasional travel for client visits, education or training activities as required.
• Performs special projects and other duties as assigned. 

Requirements

 Compensation overview

The targeted hiring range for this role is $74,200-111,300, 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.

Culture and Total Rewards

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 employees are our biggest asset. 

Currently ranked as the 41st largest private company by revenue in Minnesota (Minneapolis/St. Paul Business Journal), Western National has earned accolades year-over-year as an employer of choice and garnered multiple awards for wellness in the workplace. Western National has also been named a Top Workplace by the Star Tribune for consecutive years. In addition, the Group is consistently recognized as a Ward’s 50 property-and-casualty insurance company for its outstanding financial results.

Western National offers full-time employees a significant Total Rewards Package, including:

• Medical insurance plan options and other standard employee benefits, including dental insurance, vision benefits, life insurance, disability insurance, and more!
• Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA)
• 401(k) Plan (participants are eligible for 100% matching on the first 6% of their contributions)
• Wellbeing Program, including onsite fitness studio
• Paid Time Off – including holiday, vacation, and volunteer
• 100% company-paid tuition reimbursement for approved job-relevant coursework and access to The Institutes (Risk and insurance education)
• Paid parental leave
• Bonus opportunities

Western National believes in supporting balance between work and life by providing a flexible work environment, which includes a variety of hybrid and remote work arrangements designed to balance individual, job, department, and company needs. 

Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

Western National provides employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.