Full-Time

Claims Specialist

Contribution

Confirmed live in the last 24 hours

ICW Group

ICW Group

1,001-5,000 employees

Consulting
Financial Services

Compensation Overview

$78.7k - $132.7kAnnually

+ Bonus

Senior, Expert

Remote in USA

Remote work is available for candidates in the USA.

Category
Legal
Risk & Compliance
Legal & Compliance
Required Skills
Customer Service

You match the following ICW Group's candidate preferences

Employers are more likely to interview you if you match these preferences:

Degree
Experience
Requirements
  • Bachelor's degree from an accredited institution (or equivalent education and experience)
  • 8-10 years of related claims experience
  • Certification that meets the minimum standards of training, experience, and skill required for Payment Recovery Unit/Subrogation
  • State Workers Compensation License is required in some branches
  • Paralegal certificate from an accredited program preferred
Responsibilities
  • Manages all aspects of a 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
  • Consistently provides exceptional customer service
  • Effectively collaborates with team members from various departments for project and process discussions
  • Acts as a Subject Matter Expert for the department
  • 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
  • Investigates and gathers necessary information to evaluate subrogation potential of complex claims
  • Communicates with insureds to obtain information necessary for evaluating subrogation
  • Directs and manages legal counsel to ensure timely and cost-effective litigation
  • Attends arbitrations and/or mediations as often as workload allows
  • Analyzes police reports, investigative reports, policies, construction contracts, and OSHA reports
  • Pursues subrogation, recoveries and contributions vigorously and within statutory timeframes
  • Maintains case lists and follows up with claims personnel and outside attorneys
  • Summarizes and analyzes depositions and medical reports/records
  • Maintains a calendar of important deadlines on cases
  • Prepares subrogation department metric reports
  • 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
  • Communicates effectively with other Company departments
Desired Qualifications
  • WCCA and WCCP preferred
  • Paralegal certificate from an accredited program preferred

Company Stage

N/A

Total Funding

N/A

Headquarters

Round Rock, Texas

Founded

1972

Simplify Jobs

Simplify's Take

What believers are saying

  • Mark Moitoso's leadership aims to drive strategic growth and superior customer experience.
  • Partnerships with InsurTech firms can enhance ICW Group's product personalization.
  • ICW Group's focus on ESG factors can attract environmentally conscious clients.

What critics are saying

  • New York's saturated market poses challenges to ICW Group's expansion plans.
  • Regulatory compliance for new products may impact ICW Group's operational efficiency.
  • Strategic shifts under new leadership could disrupt existing customer relationships.

What makes ICW Group unique

  • ICW Group's expansion to New York offers a strategic growth opportunity.
  • The addition of Surety Bonds and Guarantees diversifies ICW Group's insurance portfolio.
  • ICW Group's recognition in Ward's 50 highlights its strong performance in the industry.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

401(k) Retirement Plan

401(k) Company Match

Performance Bonus

Paid Vacation

Paid Holidays

Professional Development Budget