Senior Claims Examiner (Contribution)

About the role

The Senior Claims Examiner position at ICW Group handles moderate to complex claims with a focus on providing the highest level of service for policyholders and ICW Group. This role plays a crucial part in transforming the insurance carrier space through innovative solutions and strategic outcomes.

Responsibilities

• Manages all aspects of a moderate to highly complex claims inventory.
• 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.
• All Claims Examiners consistently provide exceptional customer service, effectively collaborate with team members from various departments, and make recommendations for streamlining processes and adopting the industry’s best practices.
• Serves as a technical resource and mentors less experienced team members.
• Resolves claims fairly and equitably, acting in the best interest of the insured, and reports all recoveries to ensure they are credited to the claim file.
• Maintains contribution/subrogation logs and records for referrals and recoveries, keeps an active diary and notepad documentation for all contribution/subrogation files, and maintains diaries of important deadlines on cases.

Requirements

• Bachelor's degree (or equivalent combination of education and experience) required.
• A minimum of 5+ years’ related claims handling experience required; complex litigated claims experience is highly preferred.

Qualifications

• Good understanding of laws and jurisdictional restraints to manage claims.
• Excellent verbal communication skills, time management, attention to detail, and organizational skills.
• Adept at learning new technology.
• Flexibility to adapt to changes in a fast-paced environment.
• The ability to read, analyze, and interpret technical and legal documents.
• Writes reports and business correspondence.
• Speaks at meetings, to management, and clients.
• Solves practical problems and deals with a variety of variables in situations where limited standardization exists.

Skills

• Advanced knowledge of workers' compensation claims handling, reserving, litigation management, and resolution strategies.
• Good understanding of workers' compensation and personal injury laws and jurisdictional restraints to manage subrogation claims.

Benefits

ICW Group offers a competitive benefits package, including generous medical, dental, and vision plans, a 401K retirement plan, and company match. Bonus potential for all positions, paid time off, and paid holidays throughout the calendar year. Employees also have the opportunity to continue learning and making an impact through challenging work and a supportive environment.