Inventory Claim Processor
$78.68k - $132.69kICW Group
Are you looking to make an impactful difference in your work, yourself, and your community? We’re proud to be in business for over 50 years, and its change agents like yourself will help us continue to deliver our mission to create the best insurance experience possible.
We strive to make both our internal and external communities better everyday!
The Claims Specialist position is responsible for handling complex claims with a focus on providing exceptional service for stakeholders in order to drive claims to an equitable resolution within company standards. The Claims Specialist works with a sense of urgency, understands insurance coverage concepts, and navigates the legal system with the support of counsel to drive strategic outcomes.
Manages complex claims inventories requiring advanced technical expertise and strategic claim handling
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.
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.
All Claims Specialists
Consistently provides exceptional customer service
Effectively collaborates with cross‑functional team members for project and process discussions
Ensures accuracy of data in the claims system for compliance with applicable regulatory reporting
Continuously seeks to improve technical skills by attending job related training and tracking current case law.
As a SME (subject matter expert), serves as a technical resource and mentors/trains less experienced team members
Workers’ Compensation Claims (Specific Responsibilities)
Prepares and presents claims status reports for internal and external stakeholders.
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.
Supports specialty claim handling programs and strategic initiatives involving complex litigation, medical exposure, catastrophic injuries, fatality, PTD, or long‑duration claims.
Provides technical guidance and collaborates with leadership on complex claim resolution strategies and specialty handling initiatives.
Identifies and drives resolution opportunities on complex or long‑duration claims through proactive settlement, reserving, and medical management strategies.
Bachelor’s degree (or equivalent combination of education and experience) required along with a minimum of 8–10+ years’ related claims handling experience involving complex litigation, reserving, settlement strategy, and high exposure claims.
Certificates, Licenses, Registrations
Certification that meets the minimum standards of training, experience, and skill required. Excellent understanding of laws and jurisdictional restraints to manage claims
Read, analyze, and interpret technical and legal documents
Respond to common inquiries or complaints from customers (insured), claimants and regulatory agencies
Advanced knowledge of workers’ compensation claims handling, reserving, litigation management, and resolution strategies.
Office environment – no specific or unusual physical or environmental demands and employees are regularly required to sit, walk, stand, talk, and hear.
This position operates in an office environment and requires the frequent use of a computer, telephone, copier, and other standard office equipment.
This range is exclusive of fringe benefits and potential bonuses. We offer a competitive benefits package, with generous medical, dental, and vision plans as well as 401K retirement plans and company match
Bonus potential for all positions
Paid holidays throughout the calendar year
ICW Group will not discriminate against an applicant or employee on the basis of race, color, religion, national origin, ancestry, sex/gender, age, physical or mental disability, military or veteran status, genetic information, sexual orientation, gender identity, gender expression, marital status, or any other characteristic protected by applicable federal, state or local law.
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