Wisconsin Licensed Claim Representative

Job Summary

As an entry-level Wisconsin Licensed Claim Representative, the full-time remote position will handle medical-only and indemnity claims, exercising discretion in determining compensability, negotiating settlements, and managing claim reserves.

Key responsibilities

• Verifies workers' compensation coverage and determines compensability through thorough investigations
• Negotiates settlements with attorneys or injured parties while managing medical bills related to claims
• Documents claims specifics and closes files in compliance with internal performance standards and state legislation

Required qualifications

• Bachelor's degree in a related field or relevant combination of education and experience
• Minimum one year of relevant experience or completion of a claims trainee program
• Knowledge of workers' compensation laws and regulations
• Proficiency in using computers and company-standard software
• Bilingual skills are preferred