Workers’ Compensation Senior Claims Examiner
ICW Group
- # Workers' Compensation Senior Claims Examiner* Effectively communicates with policyholders, agents, attorneys, and witnesses to gather information and provide the highest possible level of customer service.* Promptly investigates claims to determine exposure, works with appropriate experts and makes strategic recommendations.* Utilizes appropriate resolution tactics (e.g., mediation, negotiation, denial, litigation or offer) to proactively drive outstanding results.* Operates within the requirements of related state and/or the governing entity rules and regulations as well as internal claims handling policies and procedures.* Directs defense counsel throughout the litigation process in line with ICW litigation guidelines while monitoring legal fees and costs.* Consistently provides exceptional customer service.* Effectively collaborates with team members from various departments for project and process discussions.* Makes recommendations for streamlining processes and adopting the industry's best practices.* Ensures accuracy of data in claims system for compliance with applicable regulatory reporting.* Provides knowledge transfer across the organization.* Continuously seeks to improve technical skills by attending job related training and tracking current case law.* Acts as a mentor and provides training for less experienced team members.* Serves as a technical resource and mentors less experienced Team Members* Prepares and presents claims status reports for internal and external stakeholders.* Administers timely and appropriate benefits to injured workers; manages and approves payment of benefits within designated authority level. Works within applicable state rules, regulations as well as ICW Group's internal claims handling policies and procedures.* Creates and adjusts reserves in a timely manner to ensure reserving activities are consistent with company policies.* Resolves claims fairly and equitably, acting in the best interest of the insured while providing timely benefits to injured workers as required by law.**SUPERVISORY RESPONSIBILITIES**This position has no supervisory responsibility.***Workers' Compensation:*** Certification that meets the minimum standards of training, experience, and skill required. WCCA and WCCP preferred. State Workers Compensation License is required in some branches.* Good understanding of laws and jurisdictional restraints to manage claim* Excellent verbal communication skills, time management, attention to detail and organizational skills* Must be adept at learning new technology* Flexibility to adapt to changes in a fast-paced environment**Workers' Compensation:** Advanced knowledge of workers' compensation claims handling, reserving, litigation management, and resolution strategies* Challenging work and the ability to make a difference* You will have a voice and feel a sense of belongingAt ICW Group we offer a work environment that encourages entrepreneurialism and celebrates success. Our team members are hands-on contributors who are given the opportunity to make an impact. It's our people who make us an employer of choice and the vibrant company we are today.
- J-18808-Ljbffr ICW Group
Vacancy posted 2 days ago
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