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ICW Group एक बीमा कंपनी है, जो श्रमिक मुआवज़े, आपदा कवरेज और स्वीकृत पुनर्बीमा के माध्यम से व्यवसायों और उनके कर्मचारियों को सेवाएँ प्रदान करती है। इसका कार्य दावों की रिपोर्टिंग, जोखिम प्रबंधन, कार्यस्थल सुरक्षा और ऐसे व्यावहारिक संसाधनों तक फैला है, जो एजेंटों और पॉलिसीधारकों को कवरेज और दावों का प्रबंधन करने में सहायता करते हैं। कंपनी ग्राहकों की सेवा और सुरक्षित कार्यस्थलों पर अपने व्यापक ध्यान के साथ-साथ बच्चों के जीवन को बेहतर बनाने के उद्देश्य से समुदाय-केंद्रित परोपकारी पहलों का भी समर्थन करती है।
Senior Workers' Compensation Claims Specialist - San Diego Onsite
Handle complex workers’ compensation claims, including litigation, reserves, settlements, medical exposure, and injured-worker benefits. Provide strategic claim guidance while supporting fair, timely resolutions for ICW Group.
संयुक्त राज्य
कैलिफ़ोर्निया$78,678 – $1,32,686 / वर्ष
ऑन-साइटपूर्णकालिकवरिष्ठलीडआवश्यक भाषा: अंग्रेज़ीदावा विशेषज्ञविवरण
- Manage complex claim inventories using advanced technical judgment and strategic handling approaches
- Communicate with policyholders, agents, attorneys, and witnesses while gathering facts and delivering responsive service
- Investigate claims, assess exposure, consult experts, and recommend appropriate strategies
- Pursue resolution through mediation, negotiation, denials, litigation, or settlement offers
- Comply with applicable state and governing-entity requirements and internal claims procedures
- Direct defense counsel during litigation and track related legal fees and expenses
- Partner with cross-functional teams on projects and claims-process discussions
- Identify process enhancements and recommend relevant industry practices
- Maintain accurate claims-system information for regulatory reporting
- Share expertise and mentor or train less experienced colleagues
- Develop and present claim-status reports to internal and external stakeholders
- Administer, manage, and approve injured-worker benefit payments within assigned authority
- Establish and revise claim reserves according to company policies
- Resolve claims fairly and equitably while delivering legally required benefits on time
- Support specialty programs and strategic initiatives involving complex litigation, medical exposure, catastrophic injuries, fatalities, permanent total disability, and long-duration claims
- Advise leadership on technical strategies for resolving complex claims
- Advance complex and long-duration claim resolution through settlement, reserving, and medical-management strategies
आवश्यकताएँ
- Bachelor’s degree or an equivalent combination of education and experience
- At least 8–10 years of related claims-handling experience, including complex litigation, reserving, settlement strategy, and high-exposure claims
- Workers’ compensation certification that meets required training, experience, and skill standards
- WCCA and WCCP credentials preferred
- State workers’ compensation license required in certain branches
- Strong knowledge of applicable laws and jurisdictional limitations for claims management
- Excellent verbal communication, time-management, organizational, and attention-to-detail skills
- Capacity to learn and use new technology
- Adaptability in a fast-paced, changing environment
- Ability to interpret technical and legal materials
- Ability to prepare reports and business correspondence
- Ability to address inquiries or complaints from customers, claimants, and regulatory agencies
- Ability to present information to management and clients in meetings
- Practical problem-solving skills and comfort handling varied situations with limited standardization
- Advanced expertise in workers’ compensation claims handling, reserving, litigation management, and resolution strategy
- Employment sponsorship is not available for this opportunity
लाभ
- Competitive benefits package
- Medical, dental, and vision coverage
- 401(k) retirement plan with company match
- Potential bonus eligibility across positions
- Paid time off
- Paid holidays throughout the year
- Full support for continuing education
- Meaningful, challenging work with opportunities to make a difference
- A workplace that values employee voice and belonging
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