
201 - 500 employees
🛡️ Insurance
Insurance • Risk Management
Intercare Holdings Insurance Services is a privately held company that specializes in workers' compensation and liability claims administration, managed care services, and risk management solutions. Known for their client care and responsive service, Intercare integrates advanced technology and has an in-house Special Investigations Unit (SIU) to handle claims efficiently and reduce fraudulent activities. Their unique approach combines the depth and capacity of a large organization with the flexibility of a smaller firm, ensuring customized risk management and cost control solutions for clients. With a strong emphasis on customer satisfaction, Intercare is a trusted partner in reducing risk and maintaining fiscal stability for their clients.
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201 - 500 employees
🛡️ Insurance
Insurance • Risk Management
Intercare Holdings Insurance Services is a privately held company that specializes in workers' compensation and liability claims administration, managed care services, and risk management solutions. Known for their client care and responsive service, Intercare integrates advanced technology and has an in-house Special Investigations Unit (SIU) to handle claims efficiently and reduce fraudulent activities. Their unique approach combines the depth and capacity of a large organization with the flexibility of a smaller firm, ensuring customized risk management and cost control solutions for clients. With a strong emphasis on customer satisfaction, Intercare is a trusted partner in reducing risk and maintaining fiscal stability for their clients.
• Report directly to the Claims Manager • Oversee the overall work product of a claims unit consisting of Claims Specialists and Claims Assistants • Coach, counsel, mentor, and provide performance feedback to personnel • Monitor work performance for compliance with company standards and Labor Code rules and regulations • Conduct timely performance reviews for all personnel within the assigned unit • Provide monetary approval authority up to the assigned authority level • Maintain selected files on personal diary, including files reserved over $50,000, subrogation files, delayed or denied benefit files, SIU files, and files with unresolved coverage issues • Provide clients with requested information, reports, records, logs, and other materials • Ensure claims are handled in accordance with applicable statutes and company rules • Address personnel issues and keep the Claims Manager informed about corrective action • Identify and develop at least one individual as supervisor backup • Perform quarterly audits of 10% of each Claims Specialist's open inventory • Identify opportunities to improve claims-management processes and claim outcomes • Promote teamwork and cooperation between claims personnel and other departments • Perform other duties assigned by the Claims Manager
• Bachelor's degree (B. A.) from four-year college or university; or one to two years related experience and/or training; or equivalent combination of education and experience • Five or more years of progressive technical claim experience • High degree of judgment and discretion • Ability to provide adequate guidance on complex claim cases • Ability to negotiate settlements effectively • Working knowledge of the Labor Code of the State of California as it pertains to workers compensation claims and the legal requirements for handling them • Project management skills, including developing project plans, coordinating projects, communicating changes and progress, and completing projects on time and budget • Change management skills, including developing implementation plans, communicating changes, building commitment, and monitoring transition • Leadership and people-management skills, including motivating staff, providing feedback, developing subordinate skills, and improving supervisory processes • Ability to perform each essential duty satisfactorily • Ability to meet the essential functions of the role with reasonable accommodation if applicable
• Comprehensive medical, dental, and vision benefits • Company contributions to HSA and FSA plans • Employer paid life and disability insurance • 401(k) with company match • Paid time off (PTO) and company paid holidays • Learning and development opportunities that support real career advancement • Employee assistance resources and a supportive culture that values balance and wellbeing
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