Rated Best Places to Work 2020 and 2022 by Business Insurance, Continental Western Group is a regional property casualty insurance company offering commercial products and services through independent agents in the Midwest. CWG provides unique value through the service provided by our experienced group of employees and independent agents. Since 1886 - Strong, Local and Trusted.

 

As a Berkley company, we enjoy operational flexibility that allows us to deliver quality coverage solutions.  W. R. Berkley Corporation, and all member insurance companies, are rated A+ (Superior) by A.M. Best Company, and carry Standard & Poor’s Financial Rating of A+ (Strong).

 

This role will be based in one of our three offices:

• Urbandale, IA
• Luverne, MN
• Linoln, NE

We offer a hybrid work schedule with 4 days in the office; and 1 day remote where it makes sense to do so.

 

The company is an equal opportunity employer. #LI-AV1  #LI-Hybrid

As a Sr Claims Service Representative, you'll develop skills and acquire the knowledge necessary to investigate and resolve high frequency, low severity workers compensation claims in a prompt and equitable manner via telephone investigation.  You'll determine coverage, liability, damages, reserves and conclude claims through negotiation or denial of claim.  We'll trust you to evaluate, assign, extract or input data for new claims assignments as well as provide administrative support to the Senior Claims Adjusters.  

 

What you can expect:

• Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talent
• Internal mobility opportunities 
• Visibility to senior leaders and partnership with cross functional teams
• Opportunity to impact change
• Benefits – competitive compensation, paid time off, comprehensive wellness benefits and programs, employer funded health savings account, profit sharing, 401k, paid parental leave, employee stock purchase plan, tuition assistance and professional continuing education 

We'll count on you to:

 

• Learn and become adept at examining policies, contracts and claim forms to determine coverage for routine matters.  Investigate loss, evaluate exposures, and establish accurate reserves on high frequency, low severity commercial claims within established authority level.  Deny or negotiate and settle claims.  Correctly enter claim data into claim and related systems for reporting purposes.  Re-evaluate exposures and reserves during life of the claim. 
• Review new losses received by Claims Department to determine type and level of loss.  Make initial contact with insureds and/or claimants to obtain additional information related to the claim if necessary.  May assign claims to Claims staff based on analysis of exposure.  
• Review data and create Excel spreadsheets to assist management with expenses, portal and goal management.
• Based on the needs of the business unit, perform administrative support functions that may include preparing routine correspondence, processing payments, completing routine forms for submission to State and National regulatory agencies and testing production system releases.
• Answer calls received from the Customer Experience Center and assist caller or direct call to appropriate claims staff.  May assist agents, policyholder and claimants with questions related to claims handled by others on the line-of-business team.
• Participate in educational, coaching and mentoring opportunities to enhance claims adjusting skills and knowledge. 
• Perform other related duties as assigned by management.

What you need to have:

• Two years related claims experience and/or training; or equivalent combination of education and experience
• Effective listening, verbal and written communications skills necessary to interact effectively with internal and external customers
• Proven customer service experience with strong customer orientation
• Ability to successfully negotiate
• Ability to interpret information, evaluate, research and take steps to resolve problems
• Proficient with Microsoft Word, Excel and Outlook
• Ability to travel on an occasional basis to participate in business unit meetings and development opportunities

What makes you stand out:

• Bachelor’s Degree preferred but not required
• Demonstrates a willingness to embrace new systems, processes, technology and ideas
• Acts with a sense of urgency and possess efficient planning, time management and organizational skills
• Regularly and consistently demonstrates commitment to company values and guiding principles
• Completion of or progress toward AINS, AIC or similar designations preferred

We do not accept any unsolicited resumes from external recruiting agencies or firms.

The company offers a competitive compensation plan and robust benefits package for full time regular employees.

The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

Sponsorship not Offered for this Role