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 collaborates with team members from various departments for project and process discussions.
• Makes 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.
• 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.

Skills

• Adapts to changes in a fast-paced environment.
• Acts as a mentor and provides training for less experienced team members.
• Communicates with insureds to obtain information necessary for evaluating subrogation/contribution.
• Directs and manages legal counsel to ensure timely and cost-effective litigation.
• Ensures accuracy of data in claims system for compliance with applicable regulatory reporting.
• Manages all aspects of a moderate to highly complex claims inventory.
• Maintains contribution/subrogation logs and records for referrals and recoveries.
• Maintains diaries of important deadlines on cases.
• Maintains the highest level of service for policyholders and ICW Group.
• Maintains the ability to read, analyze, and interpret technical and legal documents.
• Maintains the ability to write reports and business correspondence.
• Maintains the ability to present information at meetings, to management and clients.
• Maintains the ability to solve practical problems and deal with a variety of variables in situations where limited standardization exists.
• Maintains the ability to work with a variety of individuals and groups.
• Maintains the ability to work independently.
• Maintains the ability to work in a fast-paced environment.
• Maintains the ability to work with minimal supervision.
• Maintains the ability to work with others.
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