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.
• Maintains contribution/subrogation logs and records for referrals and recoveries.
• Resolves claims fairly and equitably, acting in the best interest of the insured.
• Reports all recoveries to ensure they are credited to the claim file.
• Coordinates the handling of contribution and subrogation recovery with the underlying case.
• Maintains contribution/subrogation logs and records for referrals and recoveries.
• Keeps an active diary and notepad documentation for all contribution/subrogation files.
• 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.

Physical Requirements

• Office environment – no specific or unusual physical or environmental demands.
• Employees are regularly required to sit, walk, stand, talk, and hear.

Work Environment

• This position operates in an office environment and requires the frequent use of a computer, telephone, copier, and other standard office equipment.

Why Join ICW Group?

• Challenging work and the ability to make a difference.
• You will have a voice and feel a sense of belonging.
• 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 Time Off.
• Paid holidays throughout the calendar year.
• Want to continue learning? We’ll support you 100%.
• ICW Group is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer.