Full-Time

Senior Claims Examiner

Subrogation

Confirmed live in the last 24 hours

ICW Group

ICW Group

1,001-5,000 employees

Consulting
Financial Services

Compensation Overview

$65.2k - $110kAnnually

+ Bonus

Senior

No H1B Sponsorship

Canoga Park, Los Angeles, CA, USA + 4 more

More locations: Pleasanton, CA, USA | Sacramento, CA, USA | San Diego, CA, USA | United States

Hybrid position with multiple locations in California and a remote option.

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

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)
  • 5+ years of related claims experience
  • Certification that meets the minimum standards of training, experience, and skill required
  • State Workers Compensation License is required in some branches
  • WCCA and WCCP preferred
  • Paralegal certificate from an accredited program preferred
  • Good understanding of Workers’ Compensation and Personal Injury Laws
  • Ability to solve practical problems and deal with a variety of concrete variables
  • Knowledge of subrogation process required
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 assigned 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
  • Assists in preparing 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

  • Expansion into New York can increase ICW Group's market share in the Northeast.
  • Surety Bonds and Guarantees attract clients in construction and real estate sectors.
  • Change4Change program enhances ICW Group's corporate social responsibility profile.

What critics are saying

  • New York's complex regulatory environment may challenge ICW Group's profitability.
  • Surety Bonds introduce underwriting risks requiring specialized expertise.
  • Charitable initiatives may divert focus from core business operations.

What makes ICW Group unique

  • ICW Group's expansion into New York offers tailored insurance products for regional needs.
  • The addition of Surety Bonds and Guarantees diversifies ICW Group's insurance portfolio.
  • ICW Group's recognition as a Ward's 50 top-performing company enhances its market credibility.

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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