Claims Examiner – Workers' Compensation

🔥 12 hours ago

🇺🇸 United States – Remote

💵 $62k - $97.7k / year

⏰ Full Time

🟢 Junior

📋 Claims Specialist

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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ICW Group

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🛡️ Insurance

🤝 B2B

🌍 Social Impact

Insurance • B2B • Social Impact

ICW Group is a comprehensive insurance provider specializing in workers' compensation, catastrophe, and assumed reinsurance. They offer a wide array of services including claims reporting, risk management, and preventive safety measures to protect businesses and their employees. ICW Group is committed to providing excellent customer service and enhancing workplace safety. Additionally, they are involved in philanthropy, particularly focusing on improving the lives of children in the communities they serve. The company also facilitates various resources for agents and policyholders to seamlessly manage insurance requirements and claims processes.

📋 Description

• Manage all aspects of a moderately complex claims inventory • Communicate with policyholders, agents, attorneys, and witnesses to gather information and provide customer service • Investigate claims to determine exposure, work with experts, and make strategic recommendations • Use mediation, negotiation, denial, litigation, or offers to drive claim resolution • Operate within state regulations and internal claims handling policies and procedures • Partner with defense counsel throughout litigation while monitoring legal fees and costs • Collaborate with cross-functional team members on projects and processes • Recommend process streamlining opportunities • Ensure claims-system data accuracy for regulatory reporting • Provide knowledge transfer across the organization • Attend job-related training and track current case law • Prepare and present claims status reports • Administer, manage, and approve benefits payments to injured workers within authority levels • Create and adjust reserves in accordance with company policies • Resolve claims fairly and equitably while providing timely benefits as required by law

🎯 Requirements

• Bachelor's degree (or equivalent combination of education and experience) required • Minimum 1–4+ years’ related claims or claims handling experience • Workers’ Compensation certification meeting minimum standards of training, experience, and skill required • State Workers Compensation License required in some branches • WCCA and WCCP preferred • Basic to good understanding of laws and jurisdictional restraints to manage claims • Excellent verbal communication, time management, attention to detail, and organizational skills • Ability to learn new technology • Flexibility to adapt to changes in a fast-paced environment • Ability to read, analyze, and interpret technical and legal documents • Ability to write reports and business correspondence • Ability to respond to inquiries or complaints from customers, claimants, and regulatory agencies • Ability to present information at meetings, to management, and clients • Ability to solve practical problems and deal with variables where limited standardization exists • Knowledge of workers’ compensation claims handling, reserving, litigation management, and resolution strategies

🏖️ Benefits

• Competitive benefits package • Medical, dental, and vision plans • 401K retirement plan with company match • Bonus potential • Paid Time Off • Paid holidays throughout the calendar year • Support for continued learning • Challenging work and the ability to make a difference • Voice and sense of belonging